Minnie Street Children's Dentistry, PC
NPI #1770250292 in Fairbanks, Alaska
Provider Information
- NPI Number
- 1770250292
- Entity Type
- Organization
- Organization Name
- Minnie Street Children's Dentistry, PC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Aug 24, 2021
- Last Updated
- Aug 24, 2021
Practice Location
Authorized Official
- Name
- DR. GREGORY L JOHNSON, DDS
- Title
- MEMBER
- Phone
- (907) 479-8844
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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