Individual
DANIEL JAMES GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
PA ROUTE 313, SUITE 105, FOUNTAINVILLE, PA 18923-0175
(215) 345-0822
(215) 345-7571
Mailing address
PO BOX 175, ROUTE 313 EXECUTIVE CENTER, FOUNTAINVILLE, PA 18923-0175
(215) 345-0822
(215) 345-7571
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS037013
PA
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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