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1497879001
EVERGREEN FAMILY DENTISTRY
MONROE, WA
NPI
1497879001
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Entity Type
Organization
Authorized Contact
GLEN A MONSON
Owner
360-805-0211
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA 7077)
Enumeration Date
2007-03-19
Last Update Date
2020-08-22
Business Address
EVERGREEN FAMILY DENTISTRY
17798 147TH ST SE
MONROE, WA 98272
Phone number: 360-805-0211
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Mailing Address
EVERGREEN FAMILY DENTISTRY
17798 147TH ST SE
MONROE, WA 98272
Phone number: 360-805-0211
Copy
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