| Evergreen Family Dentistry | |
|
310 Evergreen Ln Yreka CA 96097-3203 | |
| (530) 842-2558 | |
| (530) 842-9011 |
| Full Name | Evergreen Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 310 Evergreen Ln, Yreka, California |
| Authorized Official Name and Position | Randy Dee Krant (PARTNER) |
| Authorized Official Contact | 5308422558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Family Dentistry 310 Evergreen Ln Yreka CA 96097-3203 Ph: (530) 842-2558 | Evergreen Family Dentistry 310 Evergreen Ln Yreka CA 96097-3203 Ph: (530) 842-2558 |
| NPI Number | 1881806339 |
|---|---|
| Provider Enumeration Date | 05/05/2007 |
| Last Update Date | 07/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881806339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 38440 (California) | Primary |
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