DAVID LAWRENCE GREEN

GREAT LAKES, IL
NPI1437438421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  DE 60223505)
Additional Taxonomies122300000X Dentist
(Licence: MT  2456)
Enumeration Date2011-08-09
Last Update Date2011-08-09
Business Address
Dr. DAVID LAWRENCE GREEN D.D.S.
2410 SAMSON ST., BLDG 237
GREAT LAKES, IL 60088
Phone number: 509-876-7270
Mailing Address
Dr. DAVID LAWRENCE GREEN D.D.S.
1805 ARKANSAS AVE
GREAT LAKES, IL 60088-4244
Phone number: 509-876-7270
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