| 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 |