DR. Lance David Green, DDS

NPI #1649232521 in Prescott, Arizona

Provider Information

NPI Number: 1649232521
Entity Type: Individual
Name: DR. Lance David Green, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 5, 2006
Last Updated: May 22, 2013

Practice Location

Address: 1225 WILLOW CREEK RD
City: Prescott
State: Arizona
ZIP Code: 86301
Phone: (928) 445-5692

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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