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1093557589
RYAN GREEN
HIGHLAND, UT
NPI
1093557589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 13921187-9926)
Enumeration Date
2024-06-07
Last Update Date
2024-06-07
Business Address
Dr. RYAN GREEN DMD
5455 W 11000 N STE 202
HIGHLAND, UT 84003-8802
Phone number: 801-492-0055
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Mailing Address
Dr. RYAN GREEN DMD
482 N 20 W
VINEYARD, UT 84059-6546
Phone number: 435-619-6025
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