DR. Austin Revvie Green, DDS

NPI #1194254714 in Waco, Texas

Provider Information

NPI Number: 1194254714
Entity Type: Individual
Name: DR. Austin Revvie Green, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 7, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 7911 WOODWAY DR
City: Waco
State: Texas
ZIP Code: 76712-3866
Phone: (254) 772-3632

Specialties & Taxonomy Codes

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

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