| Evergreen Endodontics | |
|
600 Nw Gilman Blvd Ste A Issaquah WA 98027-2445 | |
| (425) 697-9777 | |
| (425) 697-9778 |
| Full Name | Evergreen Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 600 Nw Gilman Blvd Ste A, Issaquah, Washington |
| Authorized Official Name and Position | Nima Dejbod (OWNER) |
| Authorized Official Contact | 4256979777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Endodontics 600 Nw Gilman Blvd Ste A Issaquah WA 98027-2445 Ph: (425) 697-9777 | Evergreen Endodontics 600 Nw Gilman Blvd Ste A Issaquah WA 98027-2445 Ph: (425) 697-9777 |
| NPI Number | 1255842274 |
|---|---|
| Provider Enumeration Date | 10/17/2017 |
| Last Update Date | 10/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255842274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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