DR. Michael Laxton Greene SR., DDS

NPI #1205941226 in Hartford, Connecticut

Provider Information

NPI Number: 1205941226
Entity Type: Individual
Name: DR. Michael Laxton Greene SR., DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 20, 2006
Last Updated: Jun 7, 2011

Practice Location

Address: 711 BLUE HILLS AVE
City: Hartford
State: Connecticut
ZIP Code: 06112
Phone: (860) 242-4848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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