| Evergreen Dental | |
|
2403 E Evergreen Blvd Vancouver WA 98661-4320 | |
| (360) 696-1671 | |
| (360) 695-3649 |
| Full Name | Evergreen Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2403 E Evergreen Blvd, Vancouver, Washington |
| Authorized Official Name and Position | William A Behrndt (DENTIST) |
| Authorized Official Contact | 3606961671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Dental 2403 E Evergreen Blvd Vancouver WA 98661-4320 Ph: (360) 696-1671 | Evergreen Dental 2403 E Evergreen Blvd Vancouver WA 98661-4320 Ph: (360) 696-1671 |
| NPI Number | 1790022895 |
|---|---|
| Provider Enumeration Date | 01/09/2013 |
| Last Update Date | 01/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790022895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60028766 (Washington) | Primary |
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