| Ronald E. Green Dds, A Dental Corp | |
|
57019 Yucca Trail Yucca Valley CA 92284-7909 | |
| (760) 365-0774 | |
| (760) 365-3995 |
| Full Name | Ronald E. Green Dds, A Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 57019 Yucca Trail, Yucca Valley, California |
| Authorized Official Name and Position | Floyd Jesse Cawthon (DENTIST (ORTHODONTIST)) |
| Authorized Official Contact | 7603650774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald E. Green Dds, A Dental Corp 57019 Yucca Trail Yucca Valley CA 92284-7909 Ph: (760) 365-0774 | Ronald E. Green Dds, A Dental Corp 57019 Yucca Trail Yucca Valley CA 92284-7909 Ph: (760) 365-0774 |
| NPI Number | 1487866125 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 01/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487866125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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