Individual
DR. WILLIAM GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
772 S DORA ST, UKIAH, CA 95482-5336
(707) 462-2913
(707) 462-0350
Mailing address
772 S DORA ST, UKIAH, CA 95482-5336
(707) 462-2913
(707) 462-0350
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
24790
CA
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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