Organization
GREEN DENTAL STUDIO
Active
Other names
County Line Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD E GREEN D.D.S., M.P.H. (OWNER)
(303) 770-3333
Entity
Organization
Contact information
Practice address
6851 S HOLLY CIR STE 250, CENTENNIAL, CO 80112-1050
(303) 770-3333
Mailing address
6851 S HOLLY CIR STE 250, CENTENNIAL, CO 80112-1050
(303) 770-3333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105403
CO
Other
Enumeration date
05/23/2007
Last updated
08/07/2013
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