Organization
JOHNSTOWN PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN GREEN DDS (OWNER)
(816) 806-1664
Entity
Organization
Contact information
Practice address
257 JOHNSTOWN CENTER DR UNIT 107, JOHNSTOWN, CO 80534-7847
(816) 806-1664
Mailing address
257 JOHNSTOWN CENTER DR UNIT 107, JOHNSTOWN, CO 80534-7847
(816) 806-1664
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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