Individual
GRANT G GREENE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
149 N STATE ST, CONCORD, NH 03301-5013
(603) 228-5577
Mailing address
149 N STATE ST, CONCORD, NH 03301-5013
(603) 228-5577
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3079
NH
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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