PETER GERARD GREEN

FLAGSTAFF, AZ
NPI1902003940
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: AZ  D7215)
Enumeration Date2007-07-02
Last Update Date2007-07-08
Business Address
PETER GERARD GREEN DDS
2500 N ROSE ST
FLAGSTAFF, AZ 86004-3659
Phone number: 928-213-6151
Mailing Address
PETER GERARD GREEN DDS
PO BOX 3630
FLAGSTAFF, AZ 86003-3630
Phone number: 928-213-6121
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