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1801887633
IRA M GREENE
AVON, CT
NPI
1801887633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CT 5835CT)
Enumeration Date
2005-11-01
Last Update Date
2007-07-09
Business Address
Dr. IRA M GREENE D.D.S.
34 DALE RD
AVON, CT 06001-3659
Phone number: 330-674-0874
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Mailing Address
Dr. IRA M GREENE D.D.S.
10 SACHEMS TRL
WEST SIMSBURY, CT 06092-2525
Phone number: 860-651-8428
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