| NPI | 1134826118 |
|---|---|
| Doing Business As | EVERGLOW FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHIUEH CEO 951-582-3432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-06-12 |