Evergreen Family Dentistry
NPI #1881806339 in Yreka, California
Provider Information
- NPI Number
- 1881806339
- Entity Type
- Organization
- Organization Name
- Evergreen Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 5, 2007
- Last Updated
- Jul 19, 2007
Practice Location
- Address
- 310 EVERGREEN LN
- City
- Yreka
- State
- California
- ZIP Code
- 96097-3203
- Phone
- (530) 842-2558
Authorized Official
- Name
- DR. RANDY DEE KRANT, DDS
- Title
- PARTNER
- Phone
- (530) 842-2558
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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