Individual
DR. MARA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1300D WORCESTER ST, NATICK, MA 01760-1501
(508) 655-2900
Mailing address
50-56 BROADLAWN PARK, APT 506, CHESTNUT HILL, MA 02467-3500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21470
MA
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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