Ralph M Green DMD

NPI 1619087954 - Dentist - 1223S0112X

NPI Details
NPI 1619087954
Gender Male
Enumeration Date 08/30/2006
Last Updated 06/20/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
3809-B POPLAR LEVEL RD
LOUISVILLE KY, 40213-1429, US
Phone (502) 459-4273
Fax (502) 459-4343
Business Location
3809-B POPLAR LEVEL RD.
LOUISVILLE KY, 40213, US
Phone (502) 459-4273
Fax (502) 459-4343
Toxanomy
Taxonomy Code 1223S0112X
License State Kentucky
License Number 5196
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According to our database, Ralph M Green DMD NPI is 1619087954, taxonomy code is 1223S0112X and license number is 5196, license state is located at Kentucky. Ralph M Green DMD physically located at 3809-b Poplar Level Rd, Louisville KY, 40213-1429. NPI Number Ralph M Green DMD has the Individual type.

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1619087954 NPI number is provided on an as is basis without warranty of any kind. 1619087954 is maintained by the National Plan & Provider Enumeration System. The contents of Ralph M Green DMD are for informational purposes only.