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1174645345
ALAN EDWARD GREEN
BOULDER, CO
NPI
1174645345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CO 7138)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
ALAN EDWARD GREEN DDS
625 S BROADWAY ST
BOULDER, CO 80305-5926
Phone number: 303-543-8555
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Mailing Address
ALAN EDWARD GREEN DDS
625 S BROADWAY ST
BOULDER, CO 80305-5926
Phone number: 303-543-8555
Copy
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