Individual
MS. TERA BOYD GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDA
Contact information
Practice address
1012 W STOKES ST, CHINA GROVE, NC 28023-8303
(704) 857-5325
Mailing address
1012 W STOKES ST, CHINA GROVE, NC 28023-8303
(704) 857-5325
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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