Evergreen Cosmetic & Family Dentistry
NPI #1497796130 in Spokane Valley, Washington
Provider Information
- NPI Number
- 1497796130
- Entity Type
- Organization
- Organization Name
- Evergreen Cosmetic & Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 10, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1005 N EVERGREEN RD
- Address 2
- SUITE #202
- City
- Spokane Valley
- State
- Washington
- ZIP Code
- 99216-1485
- Phone
- (509) 928-4191
Authorized Official
- Name
- MRS. AMY SINES
- Title
- FINANCIAL COORDINATOR
- Phone
- (509) 928-4191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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