IVAN L GREEN

ROSEVILLE, MI
NPI1053615831
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MI  2901009700)
Enumeration Date2011-01-07
Last Update Date2011-01-07
Business Address
Dr. IVAN L GREEN
19551 E 10 MILE RD
ROSEVILLE, MI 48066-3998
Phone number: 586-775-6770
Mailing Address
Dr. IVAN L GREEN
29961 NORTHBROOK ST
FARMINGTON HILLS, MI 48334-2328
Phone number: 248-797-7795
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