NPI | 1164241402 |
---|---|
Doing Business As | DORY GREEN, DMD, FAGD |
Entity Type | Organization |
Authorized Contact | DORY GREEN Owner 954-232-3866 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-10-04 |
Last Update Date | 2024-10-04 |