LARRY PAUL GREEN

MADISON, SD
NPI1912076985
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: SD  M594)
Enumeration Date2006-11-06
Last Update Date2023-05-15
Business Address
Dr. LARRY PAUL GREEN DDS
102 N EGAN AVE
MADISON, SD 57042
Phone number: 605-256-4969
Mailing Address
Dr. LARRY PAUL GREEN DDS
PO BOX 243 102 N EGAN AVE
MADISON, SD 57042
Phone number: 605-256-4969