| Evergreen Dental Group | |
|
11800 Ne 128th St Ste 440 Kirkland WA 98034-7299 | |
| (425) 823-1583 | |
| (425) 823-1588 |
| Full Name | Evergreen Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11800 Ne 128th St Ste 440, Kirkland, Washington |
| Authorized Official Name and Position | May Yeh Huang (OWNER) |
| Authorized Official Contact | 1258231583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Dental Group 11800 Ne 128th St Ste 440 Kirkland WA 98034-7299 Ph: (425) 823-1583 | Evergreen Dental Group 11800 Ne 128th St Ste 440 Kirkland WA 98034-7299 Ph: (425) 823-1583 |
| NPI Number | 1639542103 |
|---|---|
| Provider Enumeration Date | 11/05/2015 |
| Last Update Date | 11/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639542103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 00007591 (Washington) | Primary |
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