| NPI | 1417935917 |
|---|---|
| Doing Business As | EVERGREENPERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | MAURINE MACHUGH Dentist/Owner 425-820-2414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 5017) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2010-01-27 |