| NPI | 1306277892 |
|---|---|
| Doing Business As | EVERGREEN FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MINSUNG YOON Owner 203-259-7870 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: CT 9601) |
| 1223P0700X Dentist, Prosthodontics (Licence: CT 9863) | |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2023-03-30 |