DR. Caroline Lucille Green, DMD

NPI #1033813373 in Chicago, Illinois

Provider Information

NPI Number: 1033813373
Entity Type: Individual
Name: DR. Caroline Lucille Green, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Mar 29, 2023
Last Updated: Jun 21, 2023

Practice Location

Address: 811 W WELLINGTON AVE
City: Chicago
State: Illinois
ZIP Code: 60657-5123
Phone: (773) 871-1461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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