Michael Brandon Green, D.D.S.
NPI #1861606584 in West Jordan, Utah
Provider Information
- NPI Number
- 1861606584
- Entity Type
- Individual
- Name
- Michael Brandon Green, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- May 10, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 9217 REDWOOD RD
- Address 2
- SUITE B
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088-5826
- Phone
- (801) 566-1873
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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