NPI | 1376311043 |
---|---|
Doing Business As | EVERGREEN DENTAL CARE |
Entity Type | Organization |
Authorized Contact | MICHELLE JOY MA President 818-477-7575 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-12-13 |
Last Update Date | 2023-12-13 |