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Individual

DR. BENJAMIN GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
301 W HOPKINS ST, SAN MARCOS, TX 78666-4403
(512) 396-7268
Mailing address
407 EL SECRETO ST, BUDA, TX 78610-9767
(512) 757-0121

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29015
TX

Other

Enumeration date
08/02/2013
Last updated
08/02/2013
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