Richard a Green DDS Ltd

NPI #1568682698 in Aurora, Illinois

Provider Information

NPI Number: 1568682698
Entity Type: Organization
Organization Name: Richard a Green DDS Ltd
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 30, 2007
Last Updated: Jul 17, 2008

Practice Location

Address: 1352 W GALENA BLVD
City: Aurora
State: Illinois
ZIP Code: 60506
Phone: (630) 896-7354

Authorized Official

Name: RICHARD ALLEN GREEN, GENERAL DENTIST
Title: PRESIDENT
Phone: (630) 896-7354

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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