BRAD H. GREEN D.D.S., P.A.

FAYETTEVILLE, AR
NPI1205175676
Entity TypeOrganization
Authorized ContactBRAD GREEN
Owner
479-445-7281
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: AR  3578)
Enumeration Date2013-02-05
Last Update Date2013-02-05
Business Address
BRAD H. GREEN D.D.S., P.A.
2421 N CENTER ST SUITE D
FAYETTEVILLE, AR 72701-9455
Phone number: 479-445-6919
Mailing Address
BRAD H. GREEN D.D.S., P.A.
101 S PITTMAN ST
PRAIRIE GROVE, AR 72753-3247
Phone number: 479-846-1005
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