Organization
ERIC GREEN, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC COLEMAN GREEN DDS (OWNER)
(940) 937-2248
Entity
Organization
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
(940) 937-8260
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23425
TX
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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