Individual
ZACHARY KYLE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDM
Contact information
Practice address
1090 CRANSTON ST, CRANSTON, RI 02920-7323
(401) 942-4867
Mailing address
311 DORIC AVE, CRANSTON, RI 02910-2903
(401) 467-9610
(401) 467-9030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN03466
RI
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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