Mahadeep Virk, Dmd-Puyallup

NPI #1013123181 in Puyallup, Washington

Provider Information

NPI Number: 1013123181
Entity Type: Organization
Organization Name: Mahadeep Virk, Dmd-Puyallup
Primary Specialty: Dentist - General Practice
Enumeration Date: May 15, 2007
Last Updated: Dec 21, 2010

Practice Location

Address: 10317 122ND ST E
Address 2: SUITE D
City: Puyallup
State: Washington
ZIP Code: 98374-2632
Phone: (253) 435-5656

Authorized Official

Name: DR. MAHADEEP S VIRK, DMD
Title: PRESIDENT
Phone: (253) 435-5656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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