Peter B Green

NPI #1619105194 in Austin, Minnesota

Provider Information

NPI Number
1619105194
Entity Type
Individual
Name
Peter B Green
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 23, 2009
Last Updated
Jan 4, 2012

Practice Location

Address
800 1ST AVE SW
City
Austin
ZIP Code
55912-2507
Phone
(507) 437-8208

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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