TY GREEN

MEDINA, TN
NPI1851083752
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: TN  12459)
Additional Taxonomies122300000X Dentist
(Licence: IL  019034200)
Enumeration Date2023-05-22
Last Update Date2024-12-21
Business Address
TY GREEN DDS
23 GARRETT DR
MEDINA, TN 38355-9639
Phone number: 731-783-1111
Mailing Address
TY GREEN DDS
23 GARRETT DR
MEDINA, TN 38355-9639
Phone number:
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