Gary Wayne Green is a Periodontist based in Encino, CA and is specialized in Periodontics. Gary Wayne Green practices in Encino, CA and has the professional credentials of DDS. The NPI Number for Gary Wayne Green is 1992748529 and holds a License No. 22605 (California).
The current practice location address for Gary Wayne Green is 16133 Ventura Blvd, Encino, CA and can be reached out via phone at 818-995-0294 and via fax at 818-995-7549.
Identifier | Type | State | Issuer |
---|---|---|---|
954297884 | 01 | CA | CORP ID # |
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