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Organization
MICHELLE MA DENTAL CORPORATION
Active
Organization
MICHELLE MA DENTAL CORPORATION
Active
Other names
Evergreen Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE JOY MA (PRESIDENT)
(818) 477-7575
Entity
Organization
Contact information
Practice address
937 E MAIN ST, ALHAMBRA, CA 91801-4135
(626) 285-0285
Mailing address
937 E MAIN ST, ALHAMBRA, CA 91801-4135
(626) 285-0285
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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