Organization
JAY C GREEN, D.D.S. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY C GREEN D.D.S. (PRESIDENT)
(954) 581-9550
Entity
Organization
Contact information
Practice address
7500 N.W. 5 STREET, SUITE 110, PLANTATION, FL 33317-1612
(954) 581-9550
Mailing address
7500 N.W. 5 STREET, SUITE 110, PLANTATION, FL 33317-1612
(954) 581-9550
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4099
FL
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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