| Leslie J Green Dmd Llc | |
|
860 First Ave Suite 6a King Of Prussia PA 19406-4033 | |
| (610) 337-0950 | |
| (610) 265-3560 |
| Full Name | Leslie J Green Dmd Llc |
|---|---|
| Speciality | Dentist |
| Location | 860 First Ave, King Of Prussia, Pennsylvania |
| Authorized Official Name and Position | Leslie J Green (OWNER) |
| Authorized Official Contact | 6103370950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie J Green Dmd Llc 860 First Ave Suite 6a King Of Prussia PA 19406-4033 Ph: (610) 337-0950 | Leslie J Green Dmd Llc 860 First Ave Suite 6a King Of Prussia PA 19406-4033 Ph: (610) 337-0950 |
| NPI Number | 1598105371 |
|---|---|
| Provider Enumeration Date | 06/26/2013 |
| Last Update Date | 06/26/2013 |
| Medicare PECOS PAC ID | 9739314089 |
|---|---|
| Medicare Enrollment ID | O20131023000579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598105371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS18089L (Pennsylvania) | Primary |
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