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Individual

DR. COLLEEN GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD, MPH

Contact information

Practice address
9000 W WISCONSIN AVE, DENTAL CENTER, MILWAUKEE, WI 53226-4874
(414) 266-2040
(414) 266-5677
Mailing address
7900 HARWOOD AVE, APT. 111, MILWAUKEE, WI 53213-2554
(810) 394-6539

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7288-15
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1245629518
WI
Enumeration date
01/09/2015
Last updated
04/07/2015
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