Individual
DR. JEFFREY PAUL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
109 GRANDVIEW WAY, MISSOULA, MT 59803-3359
(720) 951-4210
Mailing address
109 GRANDVIEW WAY, MISSOULA, MT 59803-3359
(720) 951-4210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5949
MT
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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