| NPI | 1689731143 |
|---|---|
| Professional Name | W NETTLES GREEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 3214) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |