Evolve Dental LLC
NPI #1174121792 in Lynnwood, Washington
Provider Information
- NPI Number
- 1174121792
- Entity Type
- Organization
- Organization Name
- Evolve Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 15, 2020
- Last Updated
- Oct 15, 2020
Practice Location
- Address
- 4410 194TH ST SW STE A
- City
- Lynnwood
- State
- Washington
- ZIP Code
- 98036-5598
- Phone
- (425) 678-6113
Authorized Official
- Name
- TARHYANG MBI TAMBE
- Title
- DENTAL HYGIENIST
- Phone
- (425) 678-6113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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