Individual
MR. RICHARD EDWARD GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6851 S HOLLY CIR STE 250, CENTENNIAL, CO 80112-1050
(303) 770-3333
(303) 770-3333
Mailing address
6851 S HOLLY CIR STE 250, CENTENNIAL, CO 80112-1050
(303) 770-3333
(303) 770-3333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105403
CO
Other
Enumeration date
05/23/2007
Last updated
08/06/2013
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