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Individual

DR. KENNETH PETER GREEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
NATIONAL NAVAL MEDICAL CENTER, 8901 WISCONSIN AVENUE, BETHESDA, MD 20889-0001
(202) 762-3032
Mailing address
5310 CONNECTICUT AVE NW, #5, WASHINGTON, DC 20015-1852
(202) 577-5105
(202) 537-7117

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036312
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036312
DENTISTRY
NY
Enumeration date
02/22/2006
Last updated
07/08/2007
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