Individual
DR. DANIEL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
412 S LINCOLN AVE, LAKEVIEW, MI 48850-5004
(989) 598-4218
Mailing address
PO BOX 80, LAKEVIEW, MI 48850-0080
(989) 598-4218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600972
MI
Other
Enumeration date
05/11/2016
Last updated
01/12/2022
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