Individual
ERIC R GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8709 HUNTERS GREEN DR, SUITE 102, TAMPA, FL 33647-2309
(813) 221-2273
(813) 929-7273
Mailing address
8709 HUNTERS GREEN DR, SUITE 102, TAMPA, FL 33647-2309
(813) 221-2273
(813) 929-7273
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN15829
FL
Other
Enumeration date
09/05/2007
Last updated
01/23/2009
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