Organization
DR JACQUELYN GREEN DDS LOVERS LANE PLLC
Active
Other names
FLOSS Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELYN GREEN DDS (OWNER/PRESIDENT/CEO)
(214) 352-0101
Entity
Organization
Contact information
Practice address
5730 W LOVERS LN, DALLAS, TX 75209-5116
(214) 352-0101
Mailing address
5730 W LOVERS LN, DALLAS, TX 75209-5116
(214) 352-0101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/28/2009
Last updated
07/03/2012
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