Evergreen Dental P a

NPI #1871876680 in Coppell, Texas

Provider Information

NPI Number
1871876680
Entity Type
Organization
Organization Name
Evergreen Dental P a
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 28, 2011
Last Updated
Sep 28, 2011

Practice Location

Address
225 E STATE HIGHWAY 121 STE 117
State
Texas
ZIP Code
75019-2008
Phone
(972) 315-0811

Authorized Official

Name
DR. HEEJE LEE, D.D.S.
Title
OWNER
Phone
(972) 315-0811

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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