| NPI | 1659399517 |
|---|---|
| Doing Business As | EVERGREEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | CASEY DEAN FINES Owner/Dentist 701-237-6307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ND 1949) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-07-21 |