DAVID CHARLES GREEN

BOISE, ID
NPI1689764748
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-3208)
Enumeration Date2006-10-12
Last Update Date2007-07-08
Business Address
-- DAVID CHARLES GREEN DDS
912 N CURTIS RD
BOISE, ID 83706-1308
Phone number: 208-375-2363
Mailing Address
-- DAVID CHARLES GREEN DDS
912 N CURTIS RD
BOISE, ID 83706-1308
Phone number: 208-375-2363
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