Individual
DR. JOHN GREEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1064 INDUSTRIAL PKWY, SARALAND, AL 36571-3720
(251) 675-4313
Mailing address
1064 INDUSTRIAL PKWY, SARALAND, AL 36571-3720
(251) 675-4313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5384
AL
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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