Individual
DR. DANIELLE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1188 RALPH DAVID ABERNATHY BLVD SW, SUITE 101, ATLANTA, GA 30310-1716
(404) 758-0770
(404) 581-5292
Mailing address
1188 RALPH DAVID ABERNATHY BLVD SW, SUITE 101, ATLANTA, GA 30310-1716
(404) 758-0770
(404) 581-5292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011973
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000814965E
—
GA
05
—
000814965F
—
GA
05
—
000814965H
—
GA
Enumeration date
10/04/2006
Last updated
12/01/2016
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