# DKEIDEK, FERNYHOUGH, GILE, HAGEL, NOV & QUICKSTAD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evident Alliance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871968669
- **Authorized official:** DR. MIKE GILE D.D.S., P.S. (CHAIRMAN)
- **Authorized official phone:** (425) 747-9141

## Contact information

- **Practice address:** 14715 BEL RED RD STE 200, BELLEVUE, WA 98007-3940
- **Practice address phone:** (425) 747-9141
- **Mailing address:** 14715 BEL RED RD STE 200, BELLEVUE, WA 98007-3940
- **Mailing address phone:** (425) 747-9141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |

## Other

- **Enumeration date:** 12/06/2015
- **Last updated:** 09/09/2016