| NPI | 1730664798 |
|---|---|
| Doing Business As | GREEN FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRITTANY HOWARD Credentialing Coordinator 217-540-8946 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |