LANCE DAVID GREEN

PRESCOTT, AZ
NPI1649232521
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: AZ  DEA#BG202645)
Enumeration Date2006-04-05
Last Update Date2013-05-22
Business Address
Dr. LANCE DAVID GREEN DDS
1225 WILLOW CREEK RD
PRESCOTT, AZ 86301
Phone number: 928-445-5692
Mailing Address
Dr. LANCE DAVID GREEN DDS
1225 WILLOW CREEK RD
PRESCOTT, AZ 86301
Phone number: 928-445-5692
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