DR. Richard Stewart Green, D.D.S.

NPI #1518093939 in Simi Valley, California

Provider Information

NPI Number: 1518093939
Entity Type: Individual
Name: DR. Richard Stewart Green, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Feb 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1445 E LOS ANGELES AVE
Address 2: SUITE 300
City: Simi Valley
State: California
ZIP Code: 93065-2817
Phone: (805) 526-8296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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