Organization
EVERGREEN COSMETIC & FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY SINES (FINANCIAL COORDINATOR)
(509) 928-4191
Entity
Organization
Contact information
Practice address
1005 N EVERGREEN RD, SUITE #202, SPOKANE VALLEY, WA 99216-1485
(509) 928-4191
(509) 921-5942
Mailing address
1005 N EVERGREEN RD, SUITE #202, SPOKANE VALLEY, WA 99216-1485
(509) 928-4191
(509) 921-5942
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/10/2006
Last updated
08/22/2020
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