Individual
DR. LAUREN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8606 VILLAGE DR STE B, SAN ANTONIO, TX 78217-5506
(210) 654-6882
Mailing address
8606 VILLAGE DR STE B, SAN ANTONIO, TX 78217-5506
(210) 654-6882
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24706
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218595101
—
TX
Enumeration date
06/05/2009
Last updated
06/22/2011
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