Individual
DR. BRET M GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8501 CANDELARIA RD NE, ALBUQUERQUE, NM 87112-1034
(505) 299-9606
(505) 299-9740
Mailing address
8501 CANDELARIA RD NE, ALBUQUERQUE, NM 87112-1032
(505) 299-9606
(505) 299-9740
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
02-501496-00-0
NM
Other
Enumeration date
11/02/2005
Last updated
07/08/2007
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