| NPI | 1841531514 |
|---|---|
| Doing Business As | EVERGREEN HILLS DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MINDI THAI President 408-274-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49010) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |