DR. Kevan S Green, DMD

NPI #1518008093 in Clifton Heights, Pennsylvania

Provider Information

NPI Number: 1518008093
Entity Type: Individual
Name: DR. Kevan S Green, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: DMD
Enumeration Date: Feb 9, 2007
Last Updated: May 12, 2008

Practice Location

Address: 215 E BALTIMORE AVE
City: Clifton Heights
State: Pennsylvania
ZIP Code: 19018-1605
Phone: (610) 623-4493

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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