Individual
RALPH M GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3809-B POPLAR LEVEL RD, LOUISVILLE, KY 40213-1429
(502) 459-4273
(502) 459-4343
Mailing address
3809-B POPLAR LEVEL RD., LOUISVILLE, KY 40213
(502) 459-4273
(502) 459-4343
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5196
KY
Other
Enumeration date
08/30/2006
Last updated
06/20/2016
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