Organization
RALPH M. GREEN MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS C. JONES DMD, MD (PROVIDER)
(502) 459-4273
Entity
Organization
Contact information
Practice address
3809 POPLAR LEVEL RD STE B, LOUISVILLE, KY 40213-1429
(502) 459-4273
(502) 459-4343
Mailing address
3809 POPLAR LEVEL RD STE B, LOUISVILLE, KY 40213-1429
(502) 459-4273
(502) 459-4343
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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