Individual
DR. MATTHEW JONATHON GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
519 W MAIN ST, MILAN, MI 48160-9559
(734) 439-1543
Mailing address
6266 VINEYARD AVE, ANN ARBOR, MI 48108-5919
(248) 760-4959
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020663
MI
Other
Enumeration date
06/04/2012
Last updated
01/12/2023
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