Individual
DR. RHONDA NICOLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3003 GODFREY RD, GODFREY, IL 62035-1808
(618) 466-5508
(618) 466-3515
Mailing address
3003 GODFREY RD, GODFREY, IL 62035-1808
(618) 466-5508
(618) 466-3515
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019024529
IL
Other
Enumeration date
10/10/2006
Last updated
07/21/2022
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