DR. Erin Russell Green, DDS

NPI #1699113365 in Brandon, Mississippi

Provider Information

NPI Number: 1699113365
Entity Type: Individual
Name: DR. Erin Russell Green, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 4, 2013
Last Updated: Jun 19, 2020

Practice Location

Address: 1075 LAKE VILLAGE CIR
City: Brandon
State: Mississippi
ZIP Code: 39047-6743
Phone: (601) 992-1605

Specialties & Taxonomy Codes

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

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