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1134678006
MICHAEL L GREEN, DDS, INC
SACRAMENTO, CA
NPI
1134678006
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Entity Type
Organization
Authorized Contact
MICHAEL L GREEN
President/Dentist
916-483-7354
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 34706)
Enumeration Date
2016-10-03
Last Update Date
2016-10-03
Business Address
MICHAEL L GREEN, DDS, INC
2821 EASTERN AVE STE 5
SACRAMENTO, CA 95821-5445
Phone number: 916-483-7354
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Mailing Address
MICHAEL L GREEN, DDS, INC
2821 EASTERN AVE STE 5
SACRAMENTO, CA 95821-5445
Phone number: 916-483-7354
Copy
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