Individual
DR. JOHN C GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
105 S WALNUT AVE, DEMOPOLIS, AL 36732-4335
(334) 289-0183
(334) 289-0152
Mailing address
105 S WALNUT AVE, DEMOPOLIS, AL 36732-4335
(334) 289-0183
(334) 289-0152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3248
AL
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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