Individual
DR. WILLIAM ALLEN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
44 MAIN ST, RICHFORD DENTAL CLINIC, RICHFORD, VT 05476-1153
(802) 255-5563
(802) 255-5569
Mailing address
810 MAQUAM SHORE RD, SWANTON, VT 05488-8416
(802) 524-0930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0160064702
VT
Other
Enumeration date
07/25/2006
Last updated
05/28/2010
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