Organization
BRIAN GREEN DMD INC
Active
Other names
Green Dental Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN GREEN DMD (OWNER)
(949) 706-0777
Entity
Organization
Contact information
Practice address
180 NEWPORT CENTER DR STE 230, NEWPORT BEACH, CA 92660-0903
(949) 706-0777
(949) 734-7270
Mailing address
280 NEWPORT CENTER DR STE 230, NEWPORT BEACH, CA 92660-7539
(949) 706-0777
(949) 734-7270
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
07/28/2023
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