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Organization
MAHADEEP VIRK, DMD-BREMERTON PS
Active
Organization
MAHADEEP VIRK, DMD-BREMERTON PS
Active
Other names
Avenue Dental Care - Bremerton
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHADEEP S VIRK DMD (PRESIDENT)
(360) 792-0300
Entity
Organization
Contact information
Practice address
2741 WHEATON WAY, SUITE B, BREMERTON, WA 98310-3344
(360) 792-0300
(360) 792-0302
Mailing address
2741 WHEATON WAY, SUITE B, BREMERTON, WA 98310-3344
(360) 792-0300
(360) 792-0302
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
12/07/2007
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