Individual
DR. BRADLY A GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 FORTUNE TER STE 101, ROCKVILLE, MD 20854-2910
(301) 279-2600
(301) 294-6460
Mailing address
350 FORTUNE TER STE 101, ROCKVILLE, MD 20854-2910
(301) 279-2600
(301) 294-6460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16965
MD
Other
Enumeration date
04/15/2019
Last updated
07/05/2023
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