MICHAEL LAWRENCE GREEN

DRAPER, UT
NPI1932181674
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: UT  9257847-9921)
Additional Taxonomies122300000X Dentist
(Licence: CA  34706)
Enumeration Date2005-11-17
Last Update Date2023-06-30
Business Address
DR. MICHAEL LAWRENCE GREEN DDS
286 E 12200 S
DRAPER, UT 84020-7817
Phone number: 801-877-3664
Mailing Address
DR. MICHAEL LAWRENCE GREEN DDS
541 N 580 W
AMERICAN FORK, UT 84003-3164
Phone number: 916-241-5515