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Individual
LAWRENCE KELTS GREEN
Active
Individual
LAWRENCE KELTS GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
28930
CA
1223P0700X
Prosthodontics
Primary
28930
CA
Other
Enumeration date
08/31/2006
Last updated
09/11/2025
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