| Evergreen Dental Group, Llc | |
|
34 Evergreen Way South Windsor CT 06074-6976 | |
| (917) 453-4055 | |
| Not Available |
| Full Name | Evergreen Dental Group, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 34 Evergreen Way, South Windsor, Connecticut |
| Authorized Official Name and Position | Chia Hui Jenny Kwon (PART OWNER/ DENTIST) |
| Authorized Official Contact | 9174534055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Dental Group, Llc 34 Evergreen Way South Windsor CT 06074-6976 Ph: (917) 453-4055 | Evergreen Dental Group, Llc 34 Evergreen Way South Windsor CT 06074-6976 Ph: (917) 453-4055 |
| NPI Number | 1457641136 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 04/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457641136 | NPI | - | NPPES |
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