Individual
DR. LISA M GREENE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10004 AURORA AVE N, SEATTLE, WA 98133-9349
(206) 363-4300
Mailing address
4505 40TH AVE SW, SEATTLE, WA 98116-4255
(206) 363-4300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009347
WA
Other
Enumeration date
12/05/2005
Last updated
07/08/2007
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