Friendly Dental
NPI #1770672958 in Worthington, Minnesota
Provider Information
- NPI Number
- 1770672958
- Entity Type
- Organization
- Organization Name
- Friendly Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 12, 2006
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 1316 MCMILLAN ST
- City
- Worthington
- State
- Minnesota
- ZIP Code
- 56187-1646
- Phone
- (507) 376-5525
Authorized Official
- Name
- DR. JERRY LEE JOHNSON, DDS
- Title
- PRESIDENT
- Phone
- (507) 376-5525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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| Worthington Family Dental | |
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