Individual
DR. MANIEKA LYNELLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
116 BIG SPRING DR, KEARNEYSVILLE, WV 25430-5728
(304) 685-2935
Mailing address
116 BIG SPRING DR, KEARNEYSVILLE, WV 25430-5728
(304) 685-2935
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4026
WV
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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