Individual
DAVID GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 MATLOCK RD, MANSFIELD, TX 76063-9126
(318) 347-0119
Mailing address
3415 LAKE CREEK TRL, MANSFIELD, TX 76063-5490
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
39823
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
7398
LA
Other
Enumeration date
12/18/2023
Last updated
01/02/2025
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