Evergreen Family Dentistry, Inc.
NPI #1316213374 in Monroe, Washington
Provider Information
- NPI Number
- 1316213374
- Entity Type
- Organization
- Organization Name
- Evergreen Family Dentistry, Inc.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 23, 2012
- Last Updated
- Mar 23, 2012
Practice Location
- Address
- 17798 147TH ST SE
- City
- Monroe
- State
- Washington
- ZIP Code
- 98272-1030
- Phone
- (360) 805-0211
Authorized Official
- Name
- GLEN MONSON, D.D.S
- Title
- OWNER
- Phone
- (360) 805-0211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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