Organization
COVINGTON ORTHODONTICS AND PEDIATRIC DENTISTRY L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHADEEP VIRK DDS (OWNER)
(206) 786-5351
Entity
Organization
Contact information
Practice address
17121 SE 270TH PL, STE 102, COVINGTON, WA 98042-5431
(253) 533-2999
Mailing address
17121 SE 270TH PL, STE 102, COVINGTON, WA 98042-5431
(253) 533-2999
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
01/30/2017
Last updated
02/14/2017
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