Individual
JOSHUA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
913 SW HIGGINS AVE, SUITE 204, MISSOULA, MT 59803-1461
(406) 549-5861
Mailing address
122 SOUTHRIDGE DR, MISSOULA, MT 59803-3375
(406) 549-5861
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2174
MT
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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