Ralph Green Dds, PC

NPI #1922025634 in Phoenix, Arizona

Provider Information

NPI Number
1922025634
Entity Type
Organization
Organization Name
Ralph Green Dds, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 17, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1904 W PARKSIDE LN
Address 2
SUITE 201
State
Arizona
ZIP Code
85027-1228
Phone
(623) 434-9343

Authorized Official

Name
RACHEL RAZO
Title
CREDENTIALING COORDATOR
Phone
(623) 434-9343

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