Individual
DR. DAVID GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
34 IROQUOIS AVENUE, CENTERPORT, NY 11721
(631) 424-7105
Mailing address
34 IROQUOIS AVENUE, CENTERPORT, NY 11721
(631) 424-7105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044231
NY
Other
Enumeration date
03/30/2007
Last updated
01/10/2013
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