Individual
DR. NICOLE RENEE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10450 185TH ST W, SUITE 500, LAKEVILLE, MN 55044-6686
(952) 435-9888
(952) 435-9820
Mailing address
10450 185TH ST W, SUITE 500, LAKEVILLE, MN 55044-6686
(952) 435-9888
(952) 435-9820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011063
MN
Other
Enumeration date
08/29/2006
Last updated
02/27/2015
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