| NPI | 1457169179 |
|---|---|
| Doing Business As | EVERGREEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | AMEEN MUKHI Owner 832-758-9773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-12-27 |
| Last Update Date | 2024-12-27 |