| NPI | 1871968669 |
|---|---|
| Doing Business As | EVIDENT ALLIANCE |
| Entity Type | Organization |
| Authorized Contact | MIKE GILE Chairman 425-747-9141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223P0300X Dentist, Periodontics | |
| Enumeration Date | 2015-12-06 |
| Last Update Date | 2016-09-09 |