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Raymond Green, DDS
NPI 1104934751 · on the registry since 2006
Practice
- Address
- 410 Mineral St
South Boston, VA 24592 - Phone
- (434) 572-4928
- Organisation at this address
- Kwang W Kim, Dds, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia