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NPI Profile for ANNA C GREEN in PEORIA, AZ.
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Dentistry |
1223P0221X | |||
Dentist |
122300000X | |||
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1518551704 |
|
| Status | Active | |
| Credentials | DDS (Doctor of Dental Surgery) | |
| Entity | Individual | |
| Enumeration date | 02/27/2021 | |
| Last updated | 08/24/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ANNA C GREEN
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