Peter Gerard Green, DDS

NPI #1902003940 in Flagstaff, Arizona

Provider Information

NPI Number
1902003940
Entity Type
Individual
Name
Peter Gerard Green, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jul 2, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2500 N ROSE ST
State
Arizona
ZIP Code
86004-3659
Phone
(928) 213-6151

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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