Gina Lea Green, RDH

NPI #1679239859 in Anderson, Missouri

Provider Information

NPI Number: 1679239859
Entity Type: Individual
Name: Gina Lea Green, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Nov 12, 2021
Last Updated: Nov 12, 2021

Practice Location

Address: 927 N 71 BUSINESS HWY
City: Anderson
State: Missouri
ZIP Code: 64831-9753
Phone: (417) 845-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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