John Green Dentistry PC

NPI #1417240888 in Orem, Utah

Provider Information

NPI Number: 1417240888
Entity Type: Organization
Organization Name: John Green Dentistry PC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 18, 2011
Last Updated: May 18, 2011

Practice Location

Address: 1256 S STATE ST
Address 2: SUITE 103
City: Orem
State: Utah
ZIP Code: 84097-8237
Phone: (801) 224-7182

Authorized Official

Name: DR. JOHN GREEN, DMD
Title: OWNER, DOCTOR
Phone: (801) 224-7182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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