Organization
LARRY P. GREEN DDS INC., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY PAUL GREEN JR. DDS (DENTIST)
(605) 256-4969
Entity
Organization
Contact information
Practice address
102 N EGAN AVE, MADISON, SD 57042-2909
(605) 256-4969
(605) 256-4717
Mailing address
PO BOX 243, MADISON, SD 57042-0243
(605) 256-4969
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
05/15/2023
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