Organization
CREEKWOOD DENTAL ARTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN REVVIE GREEN DDS (DENTIST)
(254) 772-3632
Entity
Organization
Contact information
Practice address
7911 WOODWAY DR, WACO, TX 76712-3866
(254) 772-3632
(254) 772-7856
Mailing address
7911 WOODWAY DR, WACO, TX 76712-3866
(254) 772-3632
(254) 772-7856
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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