| NPI | 1366918757 |
|---|---|
| Doing Business As | GREEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | JUSTIN KWON Owner 303-469-5301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-11-13 |