Individual
DR. GLENN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
715 W BAILEY BOSWELL RD, SAGINAW, TX 76179-1279
(817) 237-7100
Mailing address
715 W BAILEY BOSWELL RD, SAGINAW, TX 76179-1279
(817) 237-7557
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
32346
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
62867
CA
Other
Enumeration date
06/19/2012
Last updated
01/31/2024
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