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Organization

JAMES R. GREEN D.D.S,PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES R GREEN DDS (OWNER)
(940) 322-2252
Entity
Organization

Contact information

Practice address
2200 KELL BLVD, WICHITA FALLS, TX 76309-4401
(940) 322-2252
(940) 322-7090
Mailing address
2200 KELL BLVD, WICHITA FALLS, TX 76309-4401
(940) 322-2252
(940) 322-7090

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
TX10742
TX
122300000X
Dentist
Primary
TX16192
TX

Other

Enumeration date
07/29/2014
Last updated
08/27/2014
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