Organization
MAHADEEP S VIRK DMD & ELLEN POLSKY DDS, P.L.L.C.
Active
Parent organization
VIRK : SKOUNTRIANOS, P.L.L.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIRK : SKOUNTRIANOS, P.L.L.C.
Authorized official
JESSICA GRISHAM (OFFICE STAFF)
(844) 726-1800
Entity
Organization
Contact information
Practice address
2702 S 42ND ST STE 106, TACOMA, WA 98409-7315
(844) 726-1800
Mailing address
10317 122ND ST E STE B, PUYALLUP, WA 98374-2632
(844) 726-1800
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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