BRAD H GREEN DDS PA

PRAIRIE GROVE, AR
NPI1457548935
Entity TypeOrganization
Authorized ContactBRAD GREEN
President
479-846-1005
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AR  3578)
Enumeration Date2007-09-28
Last Update Date2008-05-02
Business Address
BRAD H GREEN DDS PA
401 E BUCHANAN
PRAIRIE GROVE, AR 72753
Phone number: 479-846-1005
Mailing Address
BRAD H GREEN DDS PA
101 S PITTMAN ST PO BOX 288
PRAIRIE GROVE, AR 72753-3247
Phone number: 479-846-1005
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