Individual provider · Type 1 NPI

Gary Wayne Green, DDS

Periodontics · Encino, CA

NPI number 1992748529 Active

Practice location

16133 Ventura Blvd, Suite 1040
Encino, CA 91436-2403

Call (818) 995-0294 Map

Fax (818) 995-7549

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X22605 (CA)

Periodontics: 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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About NPI 1992748529

Gary Wayne Green, DDS's National Provider Identifier is 1992748529, issued on Jun 13, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Encino, CA. The record was last updated on Sep 5, 2011.