EVERGREEN DENTAL LLC

ORANGE, CT
NPI1730464470
Entity TypeOrganization
Authorized ContactVIKAS GOEL
Owner
203-298-0446
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: CT  010332)
Enumeration Date2011-10-13
Last Update Date2011-10-19
Business Address
EVERGREEN DENTAL LLC
109 BOSTON POST RD
ORANGE, CT 06477-3235
Phone number: 203-298-0446
Mailing Address
EVERGREEN DENTAL LLC
5213 AVALON DR W
ORANGE, CT 06477-3677
Phone number: 203-298-0466