DR. John Michael Green JR., D.D.S.

NPI #1952425605 in Oak Lawn, Illinois

Provider Information

NPI Number: 1952425605
Entity Type: Individual
Name: DR. John Michael Green JR., D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Mar 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4608 W 103RD ST
City: Oak Lawn
State: Illinois
ZIP Code: 60453-4719
Phone: (708) 424-9515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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