TRAVIS GREEN

LEXINGTON, KY
NPI1922248095
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  8620)
Enumeration Date2009-03-02
Last Update Date2010-07-16
Business Address
Dr. TRAVIS GREEN D.M.D.
1101 VETERANS DRIVE (160-CDD) VA MEDICAL CENTER
LEXINGTON, KY 40502
Phone number: 859-281-4912
Mailing Address
Dr. TRAVIS GREEN D.M.D.
151 SHORESIDE DR APT. 14106
LEXINGTON, KY 40515-6442
Phone number: 859-421-2518