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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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