# MAHADEEP VIRK DMD EVERETT, PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578644100
- **Authorized official:** MONA L HORN (OFFICE MANAGER)
- **Authorized official phone:** (425) 438-8584

## Contact information

- **Practice address:** 8625 EVERGREEN WAY 212, EVERETT, WA 98208
- **Practice address phone:** (425) 438-8584
- **Practice address fax:** (425) 438-2625
- **Mailing address:** 8625 EVERGREEN WAY 212, EVERETT, WA 98208
- **Mailing address phone:** (425) 438-8584
- **Mailing address fax:** (425) 438-2625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8144 | WA | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 06/12/2008