| Evergreen Cosmetic & Family Dentistry | |
|
1005 N Evergreen Rd Suite #202 Spokane Valley WA 99216-1485 | |
| (509) 928-4191 | |
| (509) 921-5942 |
| Full Name | Evergreen Cosmetic & Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1005 N Evergreen Rd, Spokane Valley, Washington |
| Authorized Official Name and Position | Amy Sines (FINANCIAL COORDINATOR) |
| Authorized Official Contact | 5099284191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Cosmetic & Family Dentistry 1005 N Evergreen Rd Suite #202 Spokane Valley WA 99216-1485 Ph: (509) 928-4191 | Evergreen Cosmetic & Family Dentistry 1005 N Evergreen Rd Suite #202 Spokane Valley WA 99216-1485 Ph: (509) 928-4191 |
| NPI Number | 1497796130 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497796130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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