Organization
DKEIDEK, FERNYHOUGH, GILE, HAGEL, NOV & QUICKSTAD PLLC
Active
Other names
Evident Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE GILE D.D.S., P.S. (CHAIRMAN)
(425) 747-9141
Entity
Organization
Contact information
Practice address
14715 BEL RED RD STE 200, BELLEVUE, WA 98007-3940
(425) 747-9141
Mailing address
14715 BEL RED RD STE 200, BELLEVUE, WA 98007-3940
(425) 747-9141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
12/06/2015
Last updated
09/09/2016
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