Evergreen Prosthodontic Associates, LLC
NPI #1336570357 in Southbury, Connecticut
Provider Information
- NPI Number
- 1336570357
- Entity Type
- Organization
- Organization Name
- Evergreen Prosthodontic Associates, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EVERGREEN PROSTHODONTIC ASSOCIATES, LLC
- Primary Specialty
- Dentist - Prosthodontics
- Enumeration Date
- Dec 1, 2013
- Last Updated
- Mar 30, 2023
Practice Location
- Address
- 2 POMPERAUG OFFICE PARK STE 304
- City
- Southbury
- State
- Connecticut
- ZIP Code
- 06488-2288
- Phone
- (203) 264-1620
Authorized Official
- Name
- DR. MICHELLE NA, DDS
- Title
- OWNER
- Phone
- (203) 264-1620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Prosthodontics — Prosthodontics |
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