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Individual

DR. DORY GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD, FAGD

Contact information

Practice address
646 N FEDERAL HWY, FORT LAUDERDALE, FL 33304-4686
(954) 524-2300
(954) 342-6404
Mailing address
1313 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-1837
(954) 522-8554
(954) 522-8555

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI02465100
NJ
1223G0001X
General Practice Dentistry
Primary
DN19577
FL
1223G0001X
General Practice Dentistry
DS038387
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008275900
FL
Enumeration date
04/13/2011
Last updated
03/31/2026
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