Alan Edward Green DDS

NPI 1174645345 - Dentist - 1223G0001X

NPI Details
NPI 1174645345
Gender Male
Enumeration Date 04/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
625 S BROADWAY ST
BOULDER CO, 80305-5926, US
Phone (303) 543-8555
Fax (303) 543-1236
Business Location
625 S BROADWAY ST
BOULDER CO, 80305-5926, US
Phone (303) 543-8555
Fax (303) 543-1236
Toxanomy
Taxonomy Code 1223G0001X
License State Colorado
License Number 7138
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According to our database, Alan Edward Green DDS NPI is 1174645345, taxonomy code is 1223G0001X and license number is 7138, license state is located at Colorado. Alan Edward Green DDS physically located at 625 S Broadway St, Boulder CO, 80305-5926. NPI Number Alan Edward Green DDS has the Individual type.

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1174645345 NPI number is provided on an as is basis without warranty of any kind. 1174645345 is maintained by the National Plan & Provider Enumeration System. The contents of Alan Edward Green DDS are for informational purposes only.