Organization
EVERGREEN DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. T. KEVIN DANG DDS (PRESIDENT)
(425) 385-3170
Entity
Organization
Contact information
Practice address
10315 19TH AVE SE, STE 102, EVERETT, WA 98208-4259
(425) 385-3170
(425) 385-3907
Mailing address
10315 19TH AVE SE, STE 102, EVERETT, WA 98208-4259
(425) 385-3170
(425) 385-3907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/04/2006
Last updated
08/22/2020
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