Evergreen Endodontics Pllc
NPI #1255842274 in Issaquah, Washington
Provider Information
- NPI Number
- 1255842274
- Entity Type
- Organization
- Organization Name
- Evergreen Endodontics Pllc
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Oct 17, 2017
- Last Updated
- Oct 17, 2017
Practice Location
- Address
- 600 NW GILMAN BLVD STE A
- City
- Issaquah
- State
- Washington
- ZIP Code
- 98027-2445
- Phone
- (425) 697-9777
Authorized Official
- Name
- DR. NIMA DEJBOD, DMD
- Title
- OWNER
- Phone
- (425) 697-9777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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