| NPI | 1962605675 |
|---|---|
| Professional Name | ETHEL MARLENE GREENE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401 006823) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 50053477) |
| 1223G0001X Dentist, General Practice (Licence: UT 63226209921) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2007-07-08 |