Individual
DR. MARK R GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
108 VAIL ST, MIDDLESEX, NJ 08846-1943
(732) 469-7282
(732) 469-3252
Mailing address
108 VAIL ST, MIDDLESEX, NJ 08846-1943
(732) 469-7282
(732) 469-3252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
09348
NJ
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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