| NPI | 1295203941 |
|---|---|
| Doing Business As | EVERGREEN DENTISTS |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE B NGUYEN Owner/President 408-472-4749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-12-21 |