Organization
RALPH M. GREEN DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH M GREEN DMD (ORAL SURGEON)
(502) 897-0424
Entity
Organization
Contact information
Practice address
3935 DUPONT CIR STE D, LOUISVILLE, KY 40207-4824
(502) 897-0424
(502) 897-0427
Mailing address
3935 DUPONT CIR STE D, LOUISVILLE, KY 40207-4824
(502) 897-0424
(502) 897-0427
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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