Tom Green DMD

NPI 1073532669 - Dentist - 1223G0001X

NPI Details
NPI 1073532669
Gender Male
Enumeration Date 07/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
150 W BEAU ST
WASHINGTON PA, 15301-4425, US
Phone (724) 223-0220
Fax
Business Location
150 W BEAU ST
WASHINGTON PA, 15301-4425, US
Phone (724) 223-0220
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Pennsylvania
License Number 22007
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According to our database, Dr. Tom Green DMD NPI is 1073532669, taxonomy code is 1223G0001X and license number is 22007, license state is located at Pennsylvania. Tom Green DMD physically located at 150 W Beau St, Washington PA, 15301-4425. NPI Number Tom Green DMD has the Individual type.

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1073532669 NPI number is provided on an as is basis without warranty of any kind. 1073532669 is maintained by the National Plan & Provider Enumeration System. The contents of Tom Green DMD are for informational purposes only.