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1700222197
EVERGREEN DENTAL
VANCOUVER, WA
NPI
1700222197
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Entity Type
Organization
Authorized Contact
CHAD G WADE
Dentist
360-921-2396
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA DE60041682)
Enumeration Date
2013-05-13
Last Update Date
2013-05-13
Business Address
EVERGREEN DENTAL
2403 E EVERGREEN BLVD
VANCOUVER, WA 98661-4320
Phone number: 360-696-1671
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Mailing Address
EVERGREEN DENTAL
2403 E EVERGREEN BLVD
VANCOUVER, WA 98661-4320
Phone number: 360-696-1671
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