Individual
KYLE DAVID GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4901 LIMESTONE RD, WILMINGTON, DE 19808-1271
(302) 239-0410
Mailing address
501 W 14TH ST, WILMINGTON, DE 19899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G-1344
DE
Other
Enumeration date
04/30/2013
Last updated
08/03/2023
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