DR. Jeffrey Paul Green, DDS

NPI #1104264647 in Missoula, Montana

Provider Information

NPI Number
1104264647
Entity Type
Individual
Name
DR. Jeffrey Paul Green, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jun 6, 2013
Last Updated
Jun 6, 2013

Practice Location

Address
109 GRANDVIEW WAY
State
Montana
ZIP Code
59803-3359
Phone
(720) 951-4210

Specialties & Taxonomy Codes

Specialty
Dentist

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