Individual
DR. ERIC COLEMAN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
910 OAK LN, CHILDRESS, TX 79201-2210
(940) 937-2248
(940) 937-8260
Mailing address
PO BOX 248, CHILDRESS, TX 79201-0248
(940) 937-2248
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23425
TX
Other
Enumeration date
07/04/2007
Last updated
05/28/2008
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