DOUGLAS GREEN

BLAINE, MN
NPI1972614717
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MN  D11370)
Enumeration Date2006-08-31
Last Update Date2020-08-05
Business Address
Dr. DOUGLAS GREEN DDS
10729 TOWN SQUARE DR NE #150
BLAINE, MN 55449
Phone number: 763-269-8650
Mailing Address
Dr. DOUGLAS GREEN DDS
2826 ASPEN LAKE DR NE
BLAINE, MN 55449-3100
Phone number: 612-964-9172