Individual
GINA LEA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
927 N 71 BUSINESS HWY, ANDERSON, MO 64831-9753
(417) 845-2273
(417) 845-0094
Mailing address
PO BOX 758, NEOSHO, MO 64850-0758
(417) 451-9450
(417) 451-8903
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2014022979
MO
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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