| Evergrow Dental Pllc | |
|
1860 Oregon Pike Ste 102 Lancaster PA 17601-6402 | |
| (607) 654-9447 | |
| Not Available |
| Full Name | Evergrow Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1860 Oregon Pike Ste 102, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Kayla Claire Klingensmith (OWNER) |
| Authorized Official Contact | 6076549447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergrow Dental Pllc 1573 Linden Ave Lancaster PA 17601-5233 Ph: (607) 654-9447 | Evergrow Dental Pllc 1860 Oregon Pike Ste 102 Lancaster PA 17601-6402 Ph: (607) 654-9447 |
| NPI Number | 1023839891 |
|---|---|
| Provider Enumeration Date | 10/23/2024 |
| Last Update Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023839891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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