Organization
J. EVANS, DMD, P.S.
Active
Other names
KiDDS Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED D EVANS DMD (OWNER-DENTIST)
(509) 891-7070
Entity
Organization
Contact information
Practice address
1327 N STANFORD LANE, SUITE B, LIBERTY LAKE, WA 99019
(509) 891-7070
(509) 891-4741
Mailing address
1327 N STANFORD LANE, SUITE B, LIBERTY LAKE, WA 99019
(509) 891-7070
(509) 891-4741
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10191
WA
Other
Enumeration date
06/27/2007
Last updated
03/31/2009
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