Individual
DR. ROGER ALAN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13920 W CAMINO DEL SOL STE 9, SUN CITY WEST, AZ 85375-4438
(623) 933-5678
(623) 974-4754
Mailing address
13920 W CAMINO DEL SOL STE 9, SUN CITY WEST, AZ 85375-4438
(623) 933-5678
(623) 974-4754
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1703
AZ
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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