Individual
DR. MICHAEL ALAN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
338 LINCOLN AVE, PROSPECT PARK, PA 19076-2421
(610) 532-5000
(610) 461-1119
Mailing address
338 LINCOLN AVE, PROSPECT PARK, PA 19076-2421
(610) 532-5000
(610) 461-1119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS025417L
PA
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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