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1366986705
GREEN DENTISTRY PLLC
OGDEN, UT
NPI
1366986705
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Entity Type
Organization
Authorized Contact
JOHN GREEN
Owner
801-648-3653
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 7692415-9922)
Enumeration Date
2016-12-04
Last Update Date
2016-12-04
Business Address
GREEN DENTISTRY PLLC
707 24TH ST STE 2A
OGDEN, UT 84401-2580
Phone number: 801-648-3653
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Mailing Address
GREEN DENTISTRY PLLC
5029 S 1200 E
OGDEN, UT 84403-4297
Phone number: 801-648-3653
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