Individual provider · Type 1 NPI

David Charles Green, DDS

General Practice Dentistry · Boise, ID

NPI number 1689764748 Active

About NPI 1689764748

David Charles Green, DDS's National Provider Identifier is 1689764748, issued on Oct 12, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.