Organization
ANTHONY T.R. GREEN D.D.S.P.C.
Active
Organization
ANTHONY T.R. GREEN D.D.S.P.C.
Active
Other names
Anthony Green D.D.S.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY T.R. GREEN D.D.S.O.M.F.S. (ORAL SURGEON/OWNER)
(718) 739-1300
Entity
Organization
Contact information
Practice address
17836 WEXFORD TER, SUITE 2E, JAMAICA, NY 11432-3024
(718) 739-1300
(718) 739-0966
Mailing address
17836 WEXFORD TER, SUITE 2E, JAMAICA, NY 11432-3024
(718) 739-1300
(718) 739-0966
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02166558
—
NY
Enumeration date
07/09/2008
Last updated
07/09/2008
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