Individual
DR. T L GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
322 DENTAL SCIENCE S, IOWA CITY, IA 52242-1001
(319) 335-7451
Mailing address
322 DENTAL SCIENCE S, IOWA CITY, IA 52242-1001
(319) 335-7451
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4099
IA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
4099
IA
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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