GARY WAYNE GREEN

ENCINO, CA
NPI1992748529
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: CA  22605)
Enumeration Date2006-06-13
Last Update Date2011-09-05
Business Address
Dr. GARY WAYNE GREEN DDS
16133 VENTURA BLVD SUITE 1040
ENCINO, CA 91436-2403
Phone number: 818-995-0294
Mailing Address
Dr. GARY WAYNE GREEN DDS
16133 VENTURA BLVD SUITE 1040
ENCINO, CA 91436-2403
Phone number: 818-995-0294
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