Individual
DR. LESLIE J GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
491 ALLENDALE RD, SUITE 322, KING OF PRUSSIA, PA 19406-1432
(610) 337-0950
(610) 265-3560
Mailing address
491 ALLENDALE RD, SUITE 322, KING OF PRUSSIA, PA 19406-1432
(610) 337-0950
(610) 265-3560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS018089L
PA
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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