Brad H Green DDS PA
NPI #1457548935 in Prairie Grove, Arkansas
Provider Information
- NPI Number
- 1457548935
- Entity Type
- Organization
- Organization Name
- Brad H Green DDS PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 28, 2007
- Last Updated
- May 2, 2008
Practice Location
- Address
- 401 E BUCHANAN
- City
- Prairie Grove
- State
- Arkansas
- ZIP Code
- 72753
- Phone
- (479) 846-1005
Authorized Official
- Name
- DR. BRAD GREEN, DDS
- Title
- PRESIDENT
- Phone
- (479) 846-1005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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