Individual
DR. BRENDAN RODNEY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2707 NORTH 400 EAST, NORTH OGDEN, UT 84414
(801) 782-0866
(801) 782-0866
Mailing address
2707 N 400 E, NORTH OGDEN, UT 84414-2241
(801) 782-0866
(801) 782-0866
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5340572
UT
Other
Enumeration date
07/14/2006
Last updated
12/11/2009
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