Provider Demographics
NPI:1780740530
Name:CHVOJ, EVA (DDS)
Entity type:Individual
Prefix:MRS
First Name:EVA
Middle Name:
Last Name:CHVOJ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15419 NE 20 ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007
Mailing Address - Country:US
Mailing Address - Phone:425-747-0144
Mailing Address - Fax:425-747-1413
Practice Address - Street 1:15419 NE 20TH ST SUITE 101
Practice Address - Street 2:
Practice Address - City:SELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007
Practice Address - Country:US
Practice Address - Phone:425-747-0144
Practice Address - Fax:425-747-1413
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA4719122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5525407Medicaid