Individual
DAVID CHARLES GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
912 N CURTIS RD, BOISE, ID 83706-1308
(208) 375-2363
Mailing address
912 N CURTIS RD, BOISE, ID 83706-1308
(208) 375-2363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3208
ID
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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