Provider First Line Business Practice Location Address:
SOUTH VALLEY FAMILY DENTAL DR. RICHARD S. JOHNSON DDS
Provider Second Line Business Practice Location Address:
271 N. SPRINGCREEK PKWY SUITE D
Provider Business Practice Location Address City Name:
PROVIDENCE
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84332-9875
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
435-787-2122
Provider Business Practice Location Address Fax Number:
435-755-6797
Provider Enumeration Date:
07/31/2006