DR. Tim Davis Green, DDS

NPI #1598787301 in Liverpool, New York

Provider Information

NPI Number
1598787301
Entity Type
Individual
Name
DR. Tim Davis Green, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jul 24, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
8135 SOULE RD
ZIP Code
13090-1578
Phone
(315) 622-2523

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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