# BOBBY VIRK DMD & HELENA SKOUNTRIANOS DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dentistry@ Bonney Lake
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548854409
- **Authorized official:** JESSICA GRISHAM (INSURANCE MANAGER)
- **Authorized official phone:** (253) 845-6784

## Contact information

- **Practice address:** 21240 SR 410 E, BONNEY LAKE, WA 98391-8458
- **Practice address phone:** (253) 336-0244
- **Mailing address:** 10317 122ND ST E STE B, PUYALLUP, WA 98374-2632
- **Mailing address phone:** (844) 726-1800

## Taxonomy

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

## Other

- **Enumeration date:** 02/22/2021
- **Last updated:** 02/22/2021