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Dr. Gary Wayne Green, DDS
Periodontist in Encino, California
NPI 1992748529

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.

Location: 16133 Ventura Blvd, Encino, CA, 91436-2403
person
Provider Profile Details
NPI Number
1992748529
Provider Name
Gary Wayne Green
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
16133 Ventura Blvd, Encino, CA, 91436-2403
Phone Number
818-995-0294
Fax Number
818-995-7549
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
954297884 01 CA CORP ID #
institution
Provider Business Practice Location Address Details
Address
16133 Ventura Blvd
City
State
Zip
91436-2403
Phone Number
818-995-0294
Fax Number
818-995-7549
person
Provider Business Mailing Address Details
Address
16133 Ventura Blvd
City
State
Zip
91436-2403
Phone Number
818-995-0294
Fax Number
818-995-7549
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
22605 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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