| NPI | 1477564326 |
|---|---|
| Doing Business As | EVERGREEN DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SEN-JUNG HUANG President 909-860-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 47910) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |