GREGORY EUGENE GREEN

MENOMONIE, WI
NPI1366532095
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: WI  2871-015)
Enumeration Date2006-10-13
Last Update Date2007-07-08
Business Address
DR. GREGORY EUGENE GREEN D.D.S.
500 CRESCENT ST
MENOMONIE, WI 54751-1829
Phone number: 715-235-1106
Mailing Address
DR. GREGORY EUGENE GREEN D.D.S.
500 CRESCENT ST
MENOMONIE, WI 54751-1829
Phone number: 715-235-1106