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Organization
RICHARD A GREEN DDS LTD
Active
Organization
RICHARD A GREEN DDS LTD
Active
Other names
Aurora Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ALLEN GREEN GENERAL DENTIST (PRESIDENT)
(630) 896-7354
Entity
Organization
Contact information
Practice address
1352 W GALENA BLVD, AURORA, IL 60506
(630) 896-7354
(630) 896-7480
Mailing address
1352 W GALENA BLVD, AURORA, IL 60506
(630) 896-7354
(630) 896-7480
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019018634
IL
Other
Enumeration date
04/30/2007
Last updated
07/17/2008
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