EVERGREEN DENTISTRY, LLC

BAYSIDE, NY
NPI1790981579
Entity TypeOrganization
Authorized ContactANDREW KIM
President
718-578-1126
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: NY  050969)
Enumeration Date2007-06-26
Last Update Date2020-08-22
Business Address
EVERGREEN DENTISTRY, LLC
4748 203RD ST
BAYSIDE, NY 11361-3039
Phone number: 718-578-1126
Mailing Address
EVERGREEN DENTISTRY, LLC
4748 203RD ST
BAYSIDE, NY 11361-3039
Phone number: 718-578-1126
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