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1558555367
ERIC R GREEN
TAMPA, FL
NPI
1558555367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: FL DN15829)
Enumeration Date
2007-09-05
Last Update Date
2009-01-23
Business Address
-- ERIC R GREEN DMD
8709 HUNTERS GREEN DR SUITE 102
TAMPA, FL 33647-2309
Phone number: 813-221-2273
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Mailing Address
-- ERIC R GREEN DMD
8709 HUNTERS GREEN DR SUITE 102
TAMPA, FL 33647-2309
Phone number: 813-221-2273
Copy
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