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1841209962
MARK RAYMOND GREEN
SOUTH BEND, IN
NPI
1841209962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12008310)
Enumeration Date
2006-08-07
Last Update Date
2007-07-08
Business Address
Dr. MARK RAYMOND GREEN D.D.S.
2201 LINCOLN WAY WEST
SOUTH BEND, IN 46628-2513
Phone number: 574-232-4990
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Mailing Address
Dr. MARK RAYMOND GREEN D.D.S.
2201 LINCOLN WAY W
SOUTH BEND, IN 46628-2513
Phone number: 574-232-4990
Copy
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