Organization
OASIS FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANIEKA LYNELLE GREEN DDS (GENERAL DENTIST)
(480) 926-4498
Entity
Organization
Contact information
Practice address
1467 W ELLIOT RD STE 101, GILBERT, AZ 85233-5167
(480) 926-4498
Mailing address
1467 W ELLIOT RD STE 101, GILBERT, AZ 85233-5167
(480) 926-4498
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8802
AZ
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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