Organization
G.GARY GREEN DMD, PA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAIL GARY GREEN JR. DMD (PERESIDENT/OWNER)
(973) 228-0252
Entity
Organization
Contact information
Practice address
277 BLOOMFIELD AVE, CALDWELL, NJ 07006-5104
(973) 228-0252
(973) 228-0918
Mailing address
277 BLOOMFIELD AVE, CALDWELL, NJ 07006-5104
(973) 228-0252
(973) 228-0918
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12168
NJ
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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