Individual
DR. PATRICIA MARIE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3311 E THOMAS RD, PHOENIX, AZ 85018-7302
(602) 525-6893
Mailing address
6929 N HAYDEN RD. #C4-173, SUITE C4-173, SCOTTSDALE, AZ 85250-7978
(602) 525-6893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4775
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
391912
—
AZ
Enumeration date
04/13/2006
Last updated
09/04/2007
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