| NPI | 1649767385 |
|---|---|
| Doing Business As | EVERGREEN FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | UJJWALA DORLIKAR CEO 408-455-3788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA CA54865) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |