Individual
MAHADEEP SINGH VIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10317 122ND ST E, SUITE D, PUYALLUP, WA 98374-2632
(253) 435-5656
Mailing address
10317 122ND ST E, SUITE D, PUYALLUP, WA 98374-2632
(253) 435-5656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE8144
WA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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