DR. Douglas Green, DDS

NPI #1972614717 in Blaine, Minnesota

Provider Information

NPI Number
1972614717
Entity Type
Individual
Name
DR. Douglas Green, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Aug 31, 2006
Last Updated
Aug 5, 2020

Practice Location

Address
10729 TOWN SQUARE DR NE
Address 2
#150
City
Blaine
ZIP Code
55449
Phone
(763) 269-8650

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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