Individual
DR. MARIE ISABEL TIMBAYAN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
202 3RD AVE, MONTGOMERY, WV 25136-2222
(304) 442-5136
Mailing address
202 3RD AVE, MONTGOMERY, WV 25136-2222
(304) 442-5136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3491
WV
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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