DR. Raymond Allan Green, DDS
NPI #1104934751 in South Boston, Virginia
Provider Information
- NPI Number
- 1104934751
- Entity Type
- Individual
- Name
- DR. Raymond Allan Green, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 410 MINERAL ST
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592
- Phone
- (434) 572-4928
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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