Individual
DR. ROSE MARIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1625 PLEASANT HILL RD STE 140, DULUTH, GA 30096-5863
(678) 924-4888
(678) 924-4898
Mailing address
1625 PLEASANT HILL RD STE 140, DULUTH, GA 30096-5863
(678) 924-4888
(678) 924-4898
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
012094
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090132622
—
GA
Enumeration date
01/22/2007
Last updated
07/08/2007
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