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Organization
BARRY LEE GREEN DMD MS LTD
Active
Organization
BARRY LEE GREEN DMD MS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY LEE GREEN DMD (PRESIDENT)
(757) 874-5455
Entity
Organization
Contact information
Practice address
716 DENBIGH BLVD, C-2, NEWPORT NEWS, VA 23608-4414
(757) 874-5455
(757) 874-5135
Mailing address
716 DENBIGH BLVD, C-2, NEWPORT NEWS, VA 23608-4414
(757) 874-5455
(757) 874-5135
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
VA4239
VA
Other
Enumeration date
08/23/2006
Last updated
08/22/2020
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