Organization
MAHADEEP VIRK, DMD-PUYALLUP
Active
Other names
Avenue Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHADEEP S VIRK DMD (PRESIDENT)
(253) 435-5656
Entity
Organization
Contact information
Practice address
10317 122ND ST E, SUITE D, PUYALLUP, WA 98374-2632
(253) 435-5656
(253) 435-5838
Mailing address
10317 122ND ST E, SUITE D, PUYALLUP, WA 98374-2632
(253) 435-5656
(253) 435-5838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
12/21/2010
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