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Individual

DR. RODERIC RUSTON GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
31 HALL DR, FIRST ADVANTAGE DENTAL, AMHERST, MA 01002-2751
(413) 253-9505
Mailing address
89 CROSS BRK, AMHERST, MA 01002-2712
(413) 256-0697

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13772
MA

Other

Enumeration date
06/16/2006
Last updated
07/08/2007
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