South Center Pediatric Dentistry and Orthodontics LLC
NPI #1275996191 in Tukwila, Washington
Provider Information
- NPI Number
- 1275996191
- Entity Type
- Organization
- Organization Name
- South Center Pediatric Dentistry and Orthodontics LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Mar 29, 2016
- Last Updated
- Mar 29, 2016
Practice Location
- Address
- 505 STRANDER BLVD
- City
- Tukwila
- State
- Washington
- ZIP Code
- 98188-2920
- Phone
- (206) 575-2556
Authorized Official
- Name
- DR. MAHADEEP S VIRK, DMD
- Title
- OWNER OPERATOR
- Phone
- (206) 575-2556
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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