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1972614717
DOUGLAS GREEN
BLAINE, MN
NPI
1972614717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN D11370)
Enumeration Date
2006-08-31
Last Update Date
2020-08-05
Business Address
Dr. DOUGLAS GREEN DDS
10729 TOWN SQUARE DR NE #150
BLAINE, MN 55449
Phone number: 763-269-8650
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Mailing Address
Dr. DOUGLAS GREEN DDS
2826 ASPEN LAKE DR NE
BLAINE, MN 55449-3100
Phone number: 612-964-9172
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