CHARLES S GREENE

CHICAGO, IL
NPI1720193949
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  190-12322)
Enumeration Date2006-08-20
Last Update Date2009-05-27
Business Address
Dr. CHARLES S GREENE DDS
811 W WELLINGTON AVE DEPT OF DENTISTRY - AIMMC
CHICAGO, IL 60657-5123
Phone number: 773-871-4964
Mailing Address
Dr. CHARLES S GREENE DDS
1041 RIDGE RD APT. 304
WILMETTE, IL 60091-1560
Phone number: 847-256-3999
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