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1396343133
EVERGREEN DENTAL, INC.
ARLINGTON HEIGHTS, IL
NPI
1396343133
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Entity Type
Organization
Authorized Contact
TIMOTHY P BASHFORD
Owner/Dentist
847-999-8004
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2020-10-14
Last Update Date
2023-09-20
Business Address
EVERGREEN DENTAL, INC.
833 N WILKE RD
ARLINGTON HEIGHTS, IL 60005-1047
Phone number: 847-999-8004
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Mailing Address
EVERGREEN DENTAL, INC.
PO BOX 8347
NORTHFIELD, IL 60093-8347
Phone number: 847-999-8004
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