Individual
AMRITTEJ SINGH VIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 N KIMBALL AVE STE 110, SOUTHLAKE, TX 76092
(817) 251-9985
Mailing address
630 N KIMBALL AVE STE 110, SOUTHLAKE, TX 76092-6887
(817) 251-9985
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
34421
TX
122300000X
Dentist
9990
AZ
1223X2210X
Orofacial Pain Dentistry
Primary
34421
TX
Other
Enumeration date
06/06/2018
Last updated
10/01/2019
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