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1598787301
TIM DAVIS GREEN
LIVERPOOL, NY
NPI
1598787301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 034421)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
Dr. TIM DAVIS GREEN DDS
8135 SOULE RD
LIVERPOOL, NY 13090-1578
Phone number: 315-622-2523
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Mailing Address
Dr. TIM DAVIS GREEN DDS
8135 SOULE RD
LIVERPOOL, NY 13090-1578
Phone number: 315-622-2523
Copy
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