DR. Philip P Green, D.M.D.

NPI #1518007582 in Beaverton, Oregon

Provider Information

NPI Number
1518007582
Entity Type
Individual
Name
DR. Philip P Green, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
D.M.D.
Enumeration Date
Feb 7, 2007
Last Updated
Jan 16, 2008

Practice Location

Address
3925 SW 153RD DR
Address 2
SUITE #100
State
Oregon
ZIP Code
97006-4166
Phone
(503) 646-7101

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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