Individual
DR. TRAVIS GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1101 VETERANS DRIVE (160-CDD), VA MEDICAL CENTER, LEXINGTON, KY 40502
(859) 281-4912
(859) 381-5911
Mailing address
151 SHORESIDE DR, APT. 14106, LEXINGTON, KY 40515-6442
(859) 421-2518
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8620
KY
Other
Enumeration date
03/02/2009
Last updated
07/16/2010
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