# FOREVER GREEN DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447915780
- **Authorized official:** MISS MICHELLE TRAN (MANAGER/OWNER)
- **Authorized official phone:** (214) 727-7515

## Contact information

- **Practice address:** 4410 LAKEVIEW PKWY STE A, ROWLETT, TX 75088-4047
- **Practice address phone:** (469) 395-0452
- **Mailing address:** 2705 BECHTOL ST, GARLAND, TX 75042-4021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/02/2021
- **Last updated:** 11/08/2021