| 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 |