| Evergreen Dental Group | |
|
23475 Golden Springs Dr Diamond Bar CA 91765 | |
| (909) 860-7171 | |
| (909) 860-7191 |
| Full Name | Evergreen Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 23475 Golden Springs Dr, Diamond Bar, California |
| Authorized Official Name and Position | Sen-jung Huang (PRESIDENT) |
| Authorized Official Contact | 9098607171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Dental Group 23475 Golden Springs Dr Diamond Bar CA 91765 Ph: (909) 860-7171 | Evergreen Dental Group 23475 Golden Springs Dr Diamond Bar CA 91765 Ph: (909) 860-7171 |
| NPI Number | 1477564326 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477564326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 47910 (California) | Primary |
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