Eric Green, DDS

NPI #1154580397 in Childress, Texas

Provider Information

NPI Number: 1154580397
Entity Type: Organization
Organization Name: Eric Green, DDS
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 3, 2008
Last Updated: Jun 3, 2008

Practice Location

Address: 910 OAK LN
City: Childress
State: Texas
ZIP Code: 79201-2210
Phone: (940) 937-2248

Authorized Official

Name: DR. ERIC COLEMAN GREEN, DDS
Title: OWNER
Phone: (940) 937-2248

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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