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
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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