Individual
DR. RAQUEL ALICIA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
825 S WATSON RD STE 101, BUCKEYE, AZ 85326-3435
(623) 386-7319
Mailing address
15390 W CENTERRA DR N APT 52, GOODYEAR, AZ 85338-4172
(812) 459-0707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010739
AZ
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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