EVERGREEN DENTAL

VANCOUVER, WA
NPI1700222197
Entity TypeOrganization
Authorized ContactCHAD G WADE
Dentist
360-921-2396
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  DE60041682)
Enumeration Date2013-05-13
Last Update Date2013-05-13
Business Address
EVERGREEN DENTAL
2403 E EVERGREEN BLVD
VANCOUVER, WA 98661-4320
Phone number: 360-696-1671
Mailing Address
EVERGREEN DENTAL
2403 E EVERGREEN BLVD
VANCOUVER, WA 98661-4320
Phone number: 360-696-1671
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