| NPI | 1407749088 |
|---|---|
| Former Legal Business Name | GREEN TREE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | EMILY HAHN Owner 618-210-8323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-02 |