Organization
EVOLVE FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN P GRIEVES DDS (DENTIST/OWNER)
(785) 539-0804
Entity
Organization
Contact information
Practice address
1133 COLLEGE AVE STE A103, MANHATTAN, KS 66502-2795
(785) 539-0804
(785) 587-9810
Mailing address
1133 COLLEGE AVE STE A103, MANHATTAN, KS 66502-2795
(785) 539-0804
(785) 587-9810
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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