NPI | 1255842274 |
---|---|
Doing Business As | EVERGREEN ENDODONTICS |
Entity Type | Organization |
Authorized Contact | NIMA DEJBOD Owner 425-697-9777 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics |
Enumeration Date | 2017-10-17 |
Last Update Date | 2017-10-17 |