TY GREEN

BOURBONNAIS, IL
NPI1851083752
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019034200)
Enumeration Date2023-05-22
Last Update Date2023-05-22
Business Address
TY GREEN DDS
1501 N STATE ROUTE 50
BOURBONNAIS, IL 60914-4429
Phone number: 815-933-7779
Mailing Address
TY GREEN DDS
1501 N STATE ROUTE 50
BOURBONNAIS, IL 60914-4429
Phone number:
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