Individual
MRS. MARILEE MONTGOMERY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
DENTAL CARE CTR, UNIVERSITY OF CALIFORNIA, SANTA BARBARA, CA 93106-7002
(805) 893-2891
Mailing address
734 CATHEDRAL POINTE LN, SANTA BARBARA, CA 93111-1472
(805) 692-9084
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6886
CA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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