DR. Brooks Andrew Green, D.D.S

NPI #1003298076 in Lyons, Indiana

Provider Information

NPI Number
1003298076
Entity Type
Individual
Name
DR. Brooks Andrew Green, D.D.S
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S
Enumeration Date
Jun 25, 2015
Last Updated
Jun 25, 2015

Practice Location

Address
147 E BROAD ST
City
Lyons
State
Indiana
ZIP Code
47443-9502
Phone
(812) 659-2111

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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