| NPI | 1174121792 |
|---|---|
| Doing Business As | EVOLVE DENTAL LLC |
| Entity Type | Organization |
| Authorized Contact | TARHYANG MBI TAMBE Dental Hygienist 425-678-6113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |