Evergreen Prosthodontic Associates, LLC
NPI #1306277892 in Fairfield, Connecticut
Provider Information
- NPI Number
- 1306277892
- Entity Type
- Organization
- Organization Name
- Evergreen Prosthodontic Associates, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EVERGREEN PROSRTHODONTIC ASSOCIATES, LLC
- Primary Specialty
- Dentist - Prosthodontics
- Enumeration Date
- Dec 9, 2013
- Last Updated
- Mar 30, 2023
Practice Location
- Address
- 1300 POST RD
- Address 2
- SUITE 101
- City
- Fairfield
- State
- Connecticut
- ZIP Code
- 06824-6038
- Phone
- (203) 259-7870
Authorized Official
- Name
- MINSUNG YOON, DDS
- Title
- OWNER
- Phone
- (203) 259-7870
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Prosthodontics — Prosthodontics |
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