| Evergreen Hills Dental Group | |
|
5645 Silver Creek Valley Rd Suite 220 San Jose CA 95138-2474 | |
| (408) 274-9988 | |
| (408) 841-9714 |
| Full Name | Evergreen Hills Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5645 Silver Creek Valley Rd, San Jose, California |
| Authorized Official Name and Position | Mindi Thai (PRESIDENT) |
| Authorized Official Contact | 4082749988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Hills Dental Group 5645 Silver Creek Valley Rd Suite 220 San Jose CA 95138-2474 Ph: (408) 274-9988 | Evergreen Hills Dental Group 5645 Silver Creek Valley Rd Suite 220 San Jose CA 95138-2474 Ph: (408) 274-9988 |
| NPI Number | 1841531514 |
|---|---|
| Provider Enumeration Date | 03/06/2013 |
| Last Update Date | 03/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841531514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49010 (California) | Primary |
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