Individual
BENJAMIN J GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1715 MARKET ST STE 104, KIRKLAND, WA 98033-4968
(425) 822-0435
Mailing address
17214 SE 29TH CT, BELLEVUE, WA 98008-5650
(425) 747-3363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6209
WA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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