EVERGREEN DENTAL, LLC

PALMER, AK
NPI1518574052
Entity TypeOrganization
Authorized ContactRACHAEL FETUAO MIDDLETON
Chief Operations Officer
907-276-4537
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2020-09-29
Last Update Date2020-09-29
Business Address
EVERGREEN DENTAL, LLC
125 W EVERGREEN AVE STE 204
PALMER, AK 99645-6908
Phone number: 907-531-3477
Mailing Address
EVERGREEN DENTAL, LLC
125 W EVERGREEN AVE STE 204
PALMER, AK 99645-6908
Phone number: 907-531-3477