| Evolution Dental Alliance | |
|
507 S Washington St Ste 190 Spokane WA 99204-2608 | |
| (509) 566-0000 | |
| Not Available |
| Full Name | Evolution Dental Alliance |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 507 S Washington St Ste 190, Spokane, Washington |
| Authorized Official Name and Position | Joel Blake (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 5098222209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Dental Alliance 507 S Washington St Ste 40 Spokane WA 99204-2604 | Evolution Dental Alliance 507 S Washington St Ste 190 Spokane WA 99204-2608 Ph: (509) 566-0000 |
| NPI Number | 1689175309 |
|---|---|
| Provider Enumeration Date | 02/27/2018 |
| Last Update Date | 02/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689175309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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