Evergreen Dental, Inc.
NPI #1396343133 in Arlington Heights, Illinois
Provider Information
- NPI Number
- 1396343133
- Entity Type
- Organization
- Organization Name
- Evergreen Dental, Inc.
- Primary Specialty
- Dentist
- Enumeration Date
- Oct 14, 2020
- Last Updated
- Sep 20, 2023
Practice Location
- Address
- 833 N WILKE RD
- State
- Illinois
- ZIP Code
- 60005-1047
- Phone
- (847) 999-8004
Authorized Official
- Name
- DR. TIMOTHY P BASHFORD, DDS
- Title
- OWNER/DENTIST
- Phone
- (847) 999-8004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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