| Michael L Green, Dds, Inc | |
|
2821 Eastern Ave Ste 5 Sacramento CA 95821-5445 | |
| (916) 483-7354 | |
| (916) 483-1390 |
| Full Name | Michael L Green, Dds, Inc |
|---|---|
| Speciality | Dentist |
| Location | 2821 Eastern Ave Ste 5, Sacramento, California |
| Authorized Official Name and Position | Michael L Green (PRESIDENT/DENTIST) |
| Authorized Official Contact | 9164837354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L Green, Dds, Inc 2821 Eastern Ave Ste 5 Sacramento CA 95821-5445 Ph: (916) 483-7354 | Michael L Green, Dds, Inc 2821 Eastern Ave Ste 5 Sacramento CA 95821-5445 Ph: (916) 483-7354 |
| NPI Number | 1134678006 |
|---|---|
| Provider Enumeration Date | 10/03/2016 |
| Last Update Date | 10/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134678006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 34706 (California) | Primary |
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