Evergreen Family Dentistry

NPI #1497879001 in Monroe, Washington

Provider Information

NPI Number: 1497879001
Entity Type: Organization
Organization Name: Evergreen Family Dentistry
Primary Specialty: Dentist
Enumeration Date: Mar 19, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 17798 147TH ST SE
City: Monroe
State: Washington
ZIP Code: 98272
Phone: (360) 805-0211

Authorized Official

Name: DR. GLEN A MONSON, DDS
Title: OWNER
Phone: (360) 805-0211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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