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1184790826
ROOSEVELY T GREEN
PORTSMOUTH, VA
NPI
1184790826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 6417VA)
Enumeration Date
2006-11-27
Last Update Date
2007-07-08
Business Address
Dr. ROOSEVELY T GREEN DDS
600 S GREEN ST
PORTSMOUTH, VA 23704
Phone number: 757-399-3752
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Mailing Address
Dr. ROOSEVELY T GREEN DDS
600 S GREEN ST
PORTSMOUTH, VA 23704
Phone number: 757-399-3752
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