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Individual

DR. MARTYN STEVEN GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
465 N ROXBURY DR, SUITE 911, BEVERLY HILLS, CA 90210-4206
(310) 246-0024
Mailing address
465 N ROXBURY DR, SUITE 911, BEVERLY HILLS, CA 90210-4206
(310) 246-0024

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
34336
CA

Other

Enumeration date
09/01/2006
Last updated
07/08/2007
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