Individual
JOHN ARMSTRONG GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5029 S 1200 E, OGDEN, UT 84403-4297
(801) 648-3653
Mailing address
5029 S 1200 E, OGDEN, UT 84403-4297
(801) 648-3653
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7692415-9922
UT
122300000X
Dentist
Primary
DE60434325
WA
1223G0001X
General Practice Dentistry
D10029
OR
Other
Enumeration date
10/07/2010
Last updated
02/04/2019
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