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Organization
RONALD E. GREEN DDS, A DENTAL CORP
Active
Organization
RONALD E. GREEN DDS, A DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLOYD JESSE CAWTHON III DDS (DENTIST (ORTHODONTIST))
(760) 365-0774
Entity
Organization
Contact information
Practice address
57019 YUCCA TRAIL, YUCCA VALLEY, CA 92284-7909
(760) 365-0774
(760) 365-3995
Mailing address
57019 YUCCA TRAIL, YUCCA VALLEY, CA 92284-7909
(760) 365-0774
(760) 365-3995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
01/06/2011
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