Individual
DR. MICHAEL LAXTON GREENE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
711 BLUE HILLS AVE, HARTFORD, CT 06112
(860) 242-4848
(860) 242-8241
Mailing address
711 BLUE HILLS AVE, HARTFORD, CT 06112
(860) 242-4848
(860) 242-8241
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7029
CT
Other
Enumeration date
08/20/2006
Last updated
06/07/2011
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