Individual
DR. MOSHE NOAM GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2450 LAWRENCEVILLE HWY, 100, DECATUR, GA 30033-3268
(404) 850-1515
Mailing address
2450 LAWRENCEVILLE HWY, 100, DECATUR, GA 30033-3268
(404) 850-1515
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN015014
GA
Other
Enumeration date
07/10/2013
Last updated
08/26/2016
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