Individual
SARA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
89 GENESEE ST, ROCHESTER, NY 14611-3201
(585) 368-3800
Mailing address
6571 BLUE CUT RD, #107, NEWARK, NY 14513-9236
(315) 879-7535
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
51 021747
NY
Other
Enumeration date
10/21/2014
Last updated
04/14/2020
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