LARRY RUSSEL GREEN

BROOKLYN, NY
NPI1245325190
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  029704)
Enumeration Date2006-10-04
Last Update Date2013-01-15
Business Address
Dr. LARRY RUSSEL GREEN DDS
150 55TH ST DENTAL DEPT.
BROOKLYN, NY 11220-2508
Phone number: 718-630-8088
Mailing Address
Dr. LARRY RUSSEL GREEN DDS
150 55TH ST DENTAL DEPT.
BROOKLYN, NY 11220-2508
Phone number: 718-630-8088
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