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Individual
DR. PHILIP P GREEN
Active
Individual
DR. PHILIP P GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D5048
OR
Other
Enumeration date
02/07/2007
Last updated
01/16/2008
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