Individual
DR. JEFFREY ALAN GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
715 S MAIN ST, 2, SANTA ANA, CA 92701-5717
(714) 647-0797
Mailing address
715 S MAIN ST, 2, SANTA ANA, CA 92701-5717
(714) 647-0797
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19739
CA
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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