# NAVDEEP S VIRK DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avenue Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043369564
- **Authorized official:** BABS VIRK (CORP OFFICER)
- **Authorized official phone:** (509) 370-6953

## Contact information

- **Practice address:** 7521 W DESCHUTES AVE, KENNEWICK, WA 99336-7776
- **Practice address phone:** (509) 735-9999
- **Practice address fax:** (509) 735-9998
- **Mailing address:** 7521 W DESCHUTES AVE, KENNEWICK, WA 99336-7776
- **Mailing address phone:** (509) 735-9999
- **Mailing address fax:** (509) 735-9998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 9177 | WA | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 9177 | STATE LICENSE NUMBER | WA |