Individual
EVI LARISSA SIPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8575 164TH AVE NE STE 201, REDMOND, WA 98052-3346
(425) 885-3010
Mailing address
8575 164TH AVE NE STE 201, REDMOND, WA 98052-3346
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61435322
WA
122300000X
Dentist
DR61286110
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2212904
—
WA
Enumeration date
03/03/2022
Last updated
10/23/2025
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