RAYMOND ALLAN GREEN

SOUTH BOSTON, VA
NPI1104934751
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  0401005893)
Enumeration Date2006-08-25
Last Update Date2007-07-08
Business Address
Dr. RAYMOND ALLAN GREEN DDS
410 MINERAL ST
SOUTH BOSTON, VA 24592
Phone number: 434-572-4928
Mailing Address
Dr. RAYMOND ALLAN GREEN DDS
PO BOX 269
SOUTH BOSTON, VA 24592
Phone number: 434-572-4928
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