Nikki P Green, DDS
NPI #1023221322 in Fort Worth, Texas
Provider Information
- NPI Number
- 1023221322
- Entity Type
- Individual
- Name
- Nikki P Green, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- May 7, 2007
- Last Updated
- Dec 26, 2007
Practice Location
- Address
- 2512 HORNE ST
- Address 2
- STE. C
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76107-4651
- Phone
- (817) 737-6601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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