DR. Kacie Crowell Green, DDS

NPI #1386252344 in Rockford, Minnesota

Provider Information

NPI Number: 1386252344
Entity Type: Individual
Name: DR. Kacie Crowell Green, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 16, 2020
Last Updated: Jul 16, 2020

Practice Location

Address: 8900 WALNUT ST # 459
City: Rockford
State: Minnesota
ZIP Code: 55373-5135
Phone: (763) 477-5794

Specialties & Taxonomy Codes

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

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