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1083742928
BRAD GREEN
FAYETTEVILLE, AR
NPI
1083742928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: AR 3578)
Enumeration Date
2007-03-01
Last Update Date
2023-04-26
Business Address
BRAD GREEN DDS
2421 N CENTER ST STE D
FAYETTEVILLE, AR 72701-9609
Phone number: 479-445-7281
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Mailing Address
BRAD GREEN DDS
PO BOX 293
ELKINS, AR 72727-0293
Phone number: 479-445-6919
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