| NPI | 1902363393 |
|---|---|
| Doing Business As | GREEN TREE DENTAL |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ZIKE President 385-445-4989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |