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 |