DR. Michael Lawrence Green, DDS

NPI #1932181674 in Draper, Utah

Provider Information

NPI Number: 1932181674
Entity Type: Individual
Name: DR. Michael Lawrence Green, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 17, 2005
Last Updated: Jun 30, 2023

Practice Location

Address: 286 E 12200 S
City: Draper
State: Utah
ZIP Code: 84020-7817
Phone: (801) 877-3664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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