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1346815164
ANDREW JOHANSEN
HOLLADAY, UT
NPI
1346815164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 12317484-9923)
Enumeration Date
2021-05-24
Last Update Date
2021-05-24
Business Address
Dr. ANDREW JOHANSEN DDS
4970 S 900 E STE B
HOLLADAY, UT 84117-5798
Phone number: 801-261-2013
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Mailing Address
Dr. ANDREW JOHANSEN DDS
4970 S 900 E STE B
HOLLADAY, UT 84117-5798
Phone number: 801-261-2013
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