Individual
MATTHEW GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
57 RICHLAND RD, GREENWICH, CT 06830-6012
(866) 561-1233
Mailing address
1628 STEWART LN, SYOSSET, NY 11791-9640
(516) 776-8595
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
061893
NY
Other
Enumeration date
07/16/2019
Last updated
12/16/2024
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