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1871876680
EVERGREEN DENTAL P A
COPPELL, TX
NPI
1871876680
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Entity Type
Organization
Authorized Contact
HEEJE LEE
Owner
972-315-0811
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 25602)
Enumeration Date
2011-09-28
Last Update Date
2011-09-28
Business Address
EVERGREEN DENTAL P A
225 E STATE HIGHWAY 121 STE 117
COPPELL, TX 75019-2008
Phone number: 972-315-0811
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Mailing Address
EVERGREEN DENTAL P A
225 E STATE HIGHWAY 121 STE 117
COPPELL, TX 75019-2008
Phone number: 972-315-0811
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