DR. Kristin Dyan Green, D.D.S.

NPI #1356579080 in Neosho, Missouri

Provider Information

NPI Number: 1356579080
Entity Type: Individual
Name: DR. Kristin Dyan Green, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jul 1, 2009
Last Updated: Oct 25, 2024

Practice Location

Address: 2209 OAK RIDGE DR
City: Neosho
State: Missouri
ZIP Code: 64850-9092
Phone: (417) 451-0977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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