| NPI | 1780479410 |
|---|---|
| Doing Business As | EVERGREEN PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CINDY YAEBIN LEE Owner/President 929-733-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2025-04-12 |
| Last Update Date | 2025-04-12 |