ROOSEVELY T GREEN

PORTSMOUTH, VA
NPI1184790826
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  6417VA)
Enumeration Date2006-11-27
Last Update Date2007-07-08
Business Address
Dr. ROOSEVELY T GREEN DDS
600 S GREEN ST
PORTSMOUTH, VA 23704
Phone number: 757-399-3752
Mailing Address
Dr. ROOSEVELY T GREEN DDS
600 S GREEN ST
PORTSMOUTH, VA 23704
Phone number: 757-399-3752