# ANDREW Z. GREEN DDS PLLC

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

## Provider details

- **NPI number:** 1750582102
- **Authorized official:** DR. ANDREW Z GREEN (OWNER)
- **Authorized official phone:** (989) 686-9600

## Contact information

- **Practice address:** 3926 TRAXLER CT, BAY CITY, MI 48706-9283
- **Practice address phone:** (989) 686-9600
- **Mailing address:** 3926 TRAXLER CT, BAY CITY, MI 48706-9283
- **Mailing address phone:** (989) 686-9600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901019607 | MI | Yes |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 08/22/2020
