Individual
DR. GERALD C GREEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2207 OREGON PIKE, SUITE 201, LANCASTER, PA 17601-4606
(717) 299-5544
(717) 299-1509
Mailing address
2207 OREGON PIKE, SUITE 201, LANCASTER, PA 17601-4606
(717) 299-5544
(717) 299-1509
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS027181L
PA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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