Individual
DR. JAMIE H GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
100 HERITAGE VALLEY DR, SUITE 3, SEWELL, NJ 08080-1752
(856) 582-5555
Mailing address
709 GREEN LN, MULLICA HILL, NJ 08062-2846
(856) 582-3898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01941600
NJ
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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