Organization
ROYALE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANINE MARIE GREEN D.D.S. (OWNER)
(765) 289-1578
Entity
Organization
Contact information
Practice address
1804 W ROYALE DR, MUNCIE, IN 47304-2243
(765) 289-1578
(765) 289-7901
Mailing address
1804 W ROYALE DR, MUNCIE, IN 47304-2243
(765) 289-1578
(765) 289-7901
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1200-6019
IN
1223G0001X
General Practice Dentistry
Primary
1200-9865
IN
Other
Enumeration date
08/02/2006
Last updated
08/22/2020
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