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Individual
DR. COLLEEN GREENE
Active
Individual
DR. COLLEEN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MPH
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7288-15
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245629518
—
WI
Enumeration date
01/09/2015
Last updated
04/07/2015
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