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1730464470
EVERGREEN DENTAL LLC
ORANGE, CT
NPI
1730464470
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Entity Type
Organization
Authorized Contact
VIKAS GOEL
Owner
203-298-0446
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CT 010332)
Enumeration Date
2011-10-13
Last Update Date
2011-10-19
Business Address
EVERGREEN DENTAL LLC
109 BOSTON POST RD
ORANGE, CT 06477-3235
Phone number: 203-298-0446
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Mailing Address
EVERGREEN DENTAL LLC
5213 AVALON DR W
ORANGE, CT 06477-3677
Phone number: 203-298-0466
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