Organization
RALPH GREEN DDS, PC
Active
Other names
REACHOUT HEALTHCARE AMERICA
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL RAZO (CREDENTIALING COORDATOR)
(623) 434-9343
Entity
Organization
Contact information
Practice address
1904 W PARKSIDE LN, SUITE 201, PHOENIX, AZ 85027-1228
(623) 434-9343
(623) 434-9358
Mailing address
1904 W PARKSIDE LN, SUITE 201, PHOENIX, AZ 85027-1228
(623) 434-9343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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