# DR JACQUELYN GREEN DDS LOVERS LANE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FLOSS Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528398484
- **Authorized official:** DR. JACQUELYN GREEN DDS (OWNER/PRESIDENT/CEO)
- **Authorized official phone:** (214) 352-0101

## Contact information

- **Practice address:** 5730 W LOVERS LN, DALLAS, TX 75209-5116
- **Practice address phone:** (214) 352-0101
- **Mailing address:** 5730 W LOVERS LN, DALLAS, TX 75209-5116
- **Mailing address phone:** (214) 352-0101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2009
- **Last updated:** 07/03/2012