ALAN EDWARD GREEN

BOULDER, CO
NPI1174645345
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CO  7138)
Enumeration Date2007-04-06
Last Update Date2007-07-08
Business Address
-- ALAN EDWARD GREEN dds
625 S BROADWAY ST
BOULDER, CO 80305-5926
Phone number: 303-543-8555
Mailing Address
-- ALAN EDWARD GREEN dds
625 S BROADWAY ST
BOULDER, CO 80305-5926
Phone number: 303-543-8555