Evergreen Dental Associates LLC
NPI #1013121342 in Augusta, Maine
Provider Information
- NPI Number
- 1013121342
- Entity Type
- Organization
- Organization Name
- Evergreen Dental Associates LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 9, 2007
- Last Updated
- Mar 13, 2012
Practice Location
Authorized Official
- Name
- MRS. MIKKI M STUDLEY
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (207) 622-0861
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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