Johnstown Pediatric Dentistry Pllc | |
257 Johnstown Center Dr Unit 107 Johnstown CO 80534-7847 | |
(816) 806-1664 | |
Not Available |
Full Name | Johnstown Pediatric Dentistry Pllc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 257 Johnstown Center Dr Unit 107, Johnstown, Colorado |
Authorized Official Name and Position | Nathan Green (OWNER) |
Authorized Official Contact | 8168061664 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Johnstown Pediatric Dentistry Pllc 257 Johnstown Center Dr Unit 107 Johnstown CO 80534-7847 Ph: (816) 806-1664 | Johnstown Pediatric Dentistry Pllc 257 Johnstown Center Dr Unit 107 Johnstown CO 80534-7847 Ph: (816) 806-1664 |
NPI Number | 1770348401 |
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Provider Enumeration Date | 02/21/2024 |
Last Update Date | 02/21/2024 |
Identifier | Type | State | Issuer |
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1770348401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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