Individual
STAR GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1225 S POPLAR ST STE 500, NORTH PLATTE, NE 69101-6298
(308) 534-8080
Mailing address
1420 E G ST, NORTH PLATTE, NE 69101-6231
(402) 326-9536
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3100
NE
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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