Individual
DR. IRA M GREENE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
34 DALE RD, AVON, CT 06001-3659
(330) 674-0874
(860) 674-8716
Mailing address
10 SACHEMS TRL, WEST SIMSBURY, CT 06092-2525
(860) 651-8428
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5835CT
CT
Other
Enumeration date
11/01/2005
Last updated
07/09/2007
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