DR. Gavin Hayes Green, DMD

NPI #1508271438 in Glenview, Illinois

Provider Information

NPI Number: 1508271438
Entity Type: Individual
Name: DR. Gavin Hayes Green, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 30, 2014
Last Updated: Jun 30, 2014

Practice Location

Address: 1001 WAUKEGAN RD
City: Glenview
State: Illinois
ZIP Code: 60025-3034
Phone: (847) 431-5955

Specialties & Taxonomy Codes

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

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