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Individual

DR. JOEL C GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
918 PELHAM PKWY S, BRONX, NY 10462-1144
(718) 823-7312
(718) 319-0962
Mailing address
918 PELHAM PKWY S, BRONX, NY 10462-1144
(718) 823-7312
(718) 319-0962

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
037918
NY

Other

Enumeration date
06/11/2008
Last updated
06/11/2008
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