Organization
SWIFT, ELROD AND GREEN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER B. GREEN DDS (PRESIDENT)
(507) 437-8208
Entity
Organization
Contact information
Practice address
800 1ST AVE SW, AUSTIN, MN 55912-2507
(507) 437-8208
Mailing address
800 1ST AVE SW, AUSTIN, MN 55912-2507
(507) 437-8208
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D-9111
MN
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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