Individual
DR. HARJOT K VIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2429 ELLSWORTH RD, YPSILANTI, MI 48197-4853
(734) 434-0043
Mailing address
2429 ELLSWORTH RD, YPSILANTI, MI 48197-4853
(734) 434-0043
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019028849
IL
122300000X
Dentist
11548
CT
122300000X
Dentist
22DI02628800
NJ
122300000X
Dentist
Primary
2901601177
MI
122300000X
Dentist
7078
SC
122300000X
Dentist
DS038882
PA
1223G0001X
General Practice Dentistry
DN1858178
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129505482
CT DRIVER LICENSE
CT
Enumeration date
09/09/2011
Last updated
10/12/2023
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