Keira Vale Greene, DDS

NPI #1164626883 in Hayden, Idaho

Provider Information

NPI Number: 1164626883
Entity Type: Individual
Name: Keira Vale Greene, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 14, 2007
Last Updated: Sep 30, 2020

Practice Location

Address: 8636 N WAYNE DR
City: Hayden
State: Idaho
ZIP Code: 83835-5084
Phone: (303) 810-9296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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