Evergreen Dental LLC

NPI #1831513126 in Billerica, Massachusetts

Provider Information

NPI Number: 1831513126
Entity Type: Organization
Organization Name: Evergreen Dental LLC
Primary Specialty: Dentist
Enumeration Date: Feb 7, 2014
Last Updated: Feb 7, 2014

Practice Location

Address: 790 BOSTON RD UNIT 205
City: Billerica
State: Massachusetts
ZIP Code: 01821-5938
Phone: (404) 932-8875

Authorized Official

Name: JANGWON HUH
Title: PRESIDENT
Phone: (404) 932-8875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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