# CENTER FOR ENDODONTIC CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Speciality Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760543292
- **Authorized official:** MR. KULWANT S VERRAICH (DDS MDS)
- **Authorized official phone:** (206) 824-7000

## Contact information

- **Practice address:** 22613 PACIFIC HWY S STE 301, DES MOINES, WA 98198-5110
- **Practice address phone:** (206) 824-7000
- **Practice address fax:** (206) 824-4888
- **Mailing address:** 22613 PACIFIC HWY S STE 301, \#A, DES MOINES, WA 98198-5110
- **Mailing address phone:** (206) 824-7000
- **Mailing address fax:** (206) 824-4888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 008393 | WA | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 10/22/2015