Organization
GREEN ORAL SURGERY PLLC
Active
Organization
GREEN ORAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN TERRELL GREEN DMD (OWNER)
(208) 406-1777
Entity
Organization
Contact information
Practice address
715 W BAILEY BOSWELL RD, SAGINAW, TX 76179
(817) 237-7557
Mailing address
715 W BAILEY BOSWELL RD, SAGINAW, TX 76179-1279
(817) 237-7557
(817) 237-7585
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
32346
TX
Other
Enumeration date
06/07/2017
Last updated
02/28/2024
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