Individual
DR. DEREK GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8535 E HARTFORD DR STE 202, SCOTTSDALE, AZ 85255-5444
(480) 515-1000
Mailing address
8535 E HARTFORD DR STE 202, SCOTTSDALE, AZ 85255-5444
(480) 515-1000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009748
AZ
Other
Enumeration date
05/31/2017
Last updated
07/21/2022
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