Organization
BARRY LEE GREEN DMD MS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY LEE GREEN DMD (PRESIDENT)
(757) 874-5455
Entity
Organization
Contact information
Practice address
716 DENBIGH BLVD, C-2, NEWPORT NEWS, VA 23608-4414
(757) 874-5455
(757) 874-5135
Mailing address
716 DENBIGH BLVD, C-2, NEWPORT NEWS, VA 23608-4414
(757) 874-5455
(757) 874-5135
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
VA4239
VA
Other
Enumeration date
08/23/2006
Last updated
08/22/2020
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