NPI | 1780259556 |
---|---|
Doing Business As | EVERGREEN SMILE STUDIO |
Entity Type | Organization |
Authorized Contact | REBEKAH HANG NGUYEN Dentist/Owner 206-590-1369 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-05-25 |
Last Update Date | 2023-06-26 |