# MAHADEEP VIRK, DMD-BREMERTON PS

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

## Provider details

- **NPI number:** 1154537280
- **Authorized official:** DR. MAHADEEP S VIRK DMD (PRESIDENT)
- **Authorized official phone:** (360) 792-0300

## Contact information

- **Practice address:** 2741 WHEATON WAY, SUITE B, BREMERTON, WA 98310-3344
- **Practice address phone:** (360) 792-0300
- **Practice address fax:** (360) 792-0302
- **Mailing address:** 2741 WHEATON WAY, SUITE B, BREMERTON, WA 98310-3344
- **Mailing address phone:** (360) 792-0300
- **Mailing address fax:** (360) 792-0302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 12/07/2007