Individual
DR. MICHELLE TERESE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5122 OLYMPIC DR NW, SUITE B 201, GIG HARBOR, WA 98335-1767
(253) 851-8151
Mailing address
5122 OLYMPIC DR NW, SUITE B 201, GIG HARBOR, WA 98335-1767
(253) 851-8151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10650
WA
Other
Enumeration date
04/12/2007
Last updated
08/11/2016
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