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Organization
EVOLVE DENTAL LLC
Active
Organization
EVOLVE DENTAL LLC
Active
Other names
Evolve dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TARHYANG MBI TAMBE (DENTAL HYGIENIST)
(425) 678-6113
Entity
Organization
Contact information
Practice address
4410 194TH ST SW STE A, LYNNWOOD, WA 98036-5598
(425) 678-6113
Mailing address
4410 194TH ST SW STE A, LYNNWOOD, WA 98036-5598
(425) 678-6113
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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