Individual
MEGAN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
520 N 12TH ST, DEPT. OF ENDODONTICS, RICHMOND, VA 23298-5064
(804) 828-9190
Mailing address
2810 MONUMENT AVE APT 2, RICHMOND, VA 23221-1734
(404) 376-6267
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN015180
GA
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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