Individual
PETER GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 COPPERLINE DR APT U, CHAPEL HILL, NC 27516-0421
(704) 219-2981
Mailing address
304 COPPERLINE DR APT U, CHAPEL HILL, NC 27516-0421
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
9766
NC
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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