Organization
STEPHEN I GREEN DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN I GREEN DDS (PRES)
(301) 345-1222
Entity
Organization
Contact information
Practice address
7501 GREENWAY CENTER DRIVE, #268, GREENBELT, MD 20770
(301) 345-1222
(301) 345-8945
Mailing address
7501 GREENWAY CENTER DRIVE, #268, GREENBELT, MD 20770
(301) 345-1222
(301) 345-8945
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4562
MD
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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