Organization
EVERGREEN PROSTHODONTIC ASSOCIATES, LLC
Active
Parent organization
EVERGREEN PROSRTHODONTIC ASSOCIATES, LLC
Other names
Evergreen Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERGREEN PROSRTHODONTIC ASSOCIATES, LLC
Authorized official
MINSUNG YOON DDS (OWNER)
(203) 259-7870
Entity
Organization
Contact information
Practice address
1300 POST RD, SUITE 101, FAIRFIELD, CT 06824-6038
(203) 259-7870
Mailing address
1300 POST RD, SUITE 101, FAIRFIELD, CT 06824-6038
(203) 259-7870
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
9601
CT
1223P0700X
Prosthodontics
9863
CT
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
12/09/2013
Last updated
03/30/2023
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