Individual
DR. KALA MICHELE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3455 LAWRENCEVILLE HWY, LAWRENCEVILLE, GA 30044-4101
(770) 921-1115
Mailing address
3455 LAWRENCEVILLE HWY, LAWRENCEVILLE, GA 30044-4101
(770) 921-1115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015201
GA
Other
Enumeration date
06/22/2016
Last updated
07/21/2022
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