DR. Ivan L Green
NPI #1053615831 in Roseville, Michigan
Provider Information
- NPI Number
- 1053615831
- Entity Type
- Individual
- Name
- DR. Ivan L Green
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 7, 2011
- Last Updated
- Jan 7, 2011
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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