Organization
LESLIE J GREEN DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE J GREEN DMD (OWNER)
(610) 337-0950
Entity
Organization
Contact information
Practice address
860 FIRST AVE, SUITE 6A, KING OF PRUSSIA, PA 19406-4033
(610) 337-0950
(610) 265-3560
Mailing address
860 FIRST AVE, SUITE 6A, KING OF PRUSSIA, PA 19406-4033
(610) 337-0950
(610) 265-3560
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS18089L
PA
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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