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1992848956
R RYAN JOHANSEN
WEST JORDAN, UT
NPI
1992848956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: UT 49534949922)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
Dr. R RYAN JOHANSEN D.D.S.
7613 JORDAN LANDING BLVD SUITE 210
WEST JORDAN, UT 84084-1972
Phone number: 801-280-9595
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Mailing Address
Dr. R RYAN JOHANSEN D.D.S.
7613 JORDAN LANDING BLVD SUITE 210
WEST JORDAN, UT 84084-1972
Phone number: 801-280-9595
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