KOURTENAY V GREEN

SAINT LOUIS, MO
NPI1811049091
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MO  2004013239)
Enumeration Date2007-01-17
Last Update Date2007-07-09
Business Address
Dr. KOURTENAY V GREEN D.D.S.
3535 S JEFFERSON AVE
SAINT LOUIS, MO 63118-3930
Phone number: 314-268-6135
Mailing Address
Dr. KOURTENAY V GREEN D.D.S.
5920 PARK LN
SAINT LOUIS, MO 63147-1116
Phone number: 314-869-6900
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