| NPI | 1629530613 |
|---|---|
| Doing Business As | THE DENTISTRY OF GREEN TREE |
| Entity Type | Organization |
| Authorized Contact | ROSEANNE BRUNENKANT Director Of Integrations 312-937-3619 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-09-16 |