SearchArizona122300000X

Lance Green, DDS

NPI 1649232521 · on the registry since 2006 · sole proprietor

Practice

Address
1225 Willow Creek Rd
Prescott, AZ 86301
Phone
(928) 445-5692
Fax
(925) 445-5313

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-05-22

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 Arizona