G.gary Green Dmd, PA INC
NPI #1912427295 in Caldwell, New Jersey
Provider Information
- NPI Number
- 1912427295
- Entity Type
- Organization
- Organization Name
- G.gary Green Dmd, PA INC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 27, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 277 BLOOMFIELD AVE
- City
- Caldwell
- State
- New Jersey
- ZIP Code
- 07006-5104
- Phone
- (973) 228-0252
Authorized Official
- Name
- DR. GAIL GARY GREEN JR., DMD
- Title
- PERESIDENT/OWNER
- Phone
- (973) 228-0252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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