Evergreen Dental Corporation
NPI #1235177734 in Everett, Washington
Provider Information
- NPI Number
- 1235177734
- Entity Type
- Organization
- Organization Name
- Evergreen Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 4, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 10315 19TH AVE SE
- Address 2
- STE 102
- City
- Everett
- State
- Washington
- ZIP Code
- 98208-4259
- Phone
- (425) 385-3170
Authorized Official
- Name
- DR. T. KEVIN DANG, DDS
- Title
- PRESIDENT
- Phone
- (425) 385-3170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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