Organization
MAHADEEP VIRK DMD, MSD & ELLEN POLSKY DDS
Active
Other names
Kids Choice Dental Of Issaquah
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE METZGER (BILLING MANAGER)
(253) 219-5730
Entity
Organization
Contact information
Practice address
22530 SE 64TH PL STE 130, ISSAQUAH, WA 98027-5353
(253) 848-4000
(253) 604-4130
Mailing address
PO BOX 460, PUYALLUP, WA 98371-0047
(253) 848-4000
(253) 604-4130
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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