| NPI | 1699540682 |
|---|---|
| Doing Business As | EVERGREEN SMILES |
| Entity Type | Organization |
| Authorized Contact | MANDEEP KAUR PANNU General Dentist 203-703-2762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |