Individual
DR. MICHAEL LAWRENCE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
286 E 12200 S, DRAPER, UT 84020-7817
(801) 877-3664
Mailing address
541 N 580 W, AMERICAN FORK, UT 84003-3164
(916) 241-5515
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
34706
CA
122300000X
Dentist
Primary
9257847-9921
UT
Other
Enumeration date
11/17/2005
Last updated
06/30/2023
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