Individual
DR. GAVIN HAYES GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1001 WAUKEGAN RD, GLENVIEW, IL 60025-3034
(847) 431-5955
Mailing address
1001 WAUKEGAN RD, GLENVIEW, IL 60025-3034
(847) 431-5955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019029865
IL
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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