CHARLES R GREEN

FARMVILLE, VA
NPI1568484962
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  0401004419)
Enumeration Date2006-07-24
Last Update Date2007-07-08
Business Address
Dr. CHARLES R GREEN DDS
201 A ST
FARMVILLE, VA 23901-1613
Phone number: 434-392-4021
Mailing Address
Dr. CHARLES R GREEN DDS
PO BOX 939
FARMVILLE, VA 23901-0939
Phone number: 434-392-4021
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