Individual
DR. BARRY LEE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
716 DENBIGH BLVD, #C2, NEWPORT NEWS, VA 23608-4414
(757) 874-5455
(757) 874-5135
Mailing address
716 DENBIGH BLVD, #C2, NEWPORT NEWS, VA 23608-4414
(757) 874-5455
(757) 874-5135
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
VA4239
VA
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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