Organization
EVERGREEN ENDODONTICS PLLC
Active
Other names
Evergreen Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIMA DEJBOD DMD (OWNER)
(425) 697-9777
Entity
Organization
Contact information
Practice address
600 NW GILMAN BLVD STE A, ISSAQUAH, WA 98027-2445
(425) 697-9777
(425) 697-9778
Mailing address
600 NW GILMAN BLVD STE A, ISSAQUAH, WA 98027-2445
(425) 697-9777
(425) 697-9778
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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