| Evident Alliance | |
|
14715 Bel Red Rd Ste 200 Bellevue WA 98007-3940 | |
| (425) 747-9141 | |
| Not Available |
| Full Name | Evident Alliance |
|---|---|
| Speciality | Dentist |
| Location | 14715 Bel Red Rd Ste 200, Bellevue, Washington |
| Authorized Official Name and Position | Mike Gile (CHAIRMAN) |
| Authorized Official Contact | 4257479141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evident Alliance 14715 Bel Red Rd Ste 200 Bellevue WA 98007-3940 Ph: (425) 747-9141 | Evident Alliance 14715 Bel Red Rd Ste 200 Bellevue WA 98007-3940 Ph: (425) 747-9141 |
| NPI Number | 1871968669 |
|---|---|
| Provider Enumeration Date | 12/06/2015 |
| Last Update Date | 09/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871968669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
| 1223G0001X | Dentist - General Practice | () | Secondary |
| 1223P0300X | Dentist - Periodontics | () | Secondary |
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