Individual
DR. KEVAN S GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
215 E BALTIMORE AVE, CLIFTON HEIGHTS, PA 19018-1605
(610) 623-4493
(610) 623-0871
Mailing address
215 E BALTIMORE AVE, CLIFTON HEIGHTS, PA 19018-1605
(610) 623-4493
(610) 623-0871
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
22DI01467000
NJ
1223P0300X
Periodontics
Primary
DS024064L
PA
Other
Enumeration date
02/09/2007
Last updated
05/12/2008
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