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Individual
DR. GLENN ARTIE GREENE
Active
Individual
DR. GLENN ARTIE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
04010006256
VA
122300000X
Dentist
3691
WV
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
123
WV
Other
Enumeration date
07/13/2006
Last updated
04/10/2009
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