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1194254714
AUSTIN REVVIE GREEN
WACO, TX
NPI
1194254714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 33131)
Enumeration Date
2017-06-07
Last Update Date
2022-07-21
Business Address
Dr. AUSTIN REVVIE GREEN DDS
7911 WOODWAY DR
WACO, TX 76712-3866
Phone number: 254-772-3632
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Mailing Address
Dr. AUSTIN REVVIE GREEN DDS
7911 WOODWAY DR
WACO, TX 76712-3866
Phone number: 254-772-3632
Copy
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