Organization
EVERGREEN DENTAL CENTER,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON W HARTMAN DDS (MANAGING PARTNER)
(517) 484-5811
Entity
Organization
Contact information
Practice address
2805 E MOUNT HOPE AVE, LANSING, MI 48910-1916
(517) 484-5811
(517) 484-5873
Mailing address
2805 E MOUNT HOPE AVE, LANSING, MI 48910-1916
(517) 484-5811
(517) 484-5873
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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