South Center Pediatric Dentistry And Orthodontic | |
505 Strander Blvd Tukwila WA 98188-2920 | |
(206) 575-2556 | |
(253) 604-0598 |
Full Name | South Center Pediatric Dentistry And Orthodontic |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 505 Strander Blvd, Tukwila, Washington |
Authorized Official Name and Position | Mahadeep S Virk (OWNER OPERATOR) |
Authorized Official Contact | 2065752556 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
South Center Pediatric Dentistry And Orthodontic 505 Strander Blvd Tukwila WA 98188-2920 Ph: (206) 575-2556 | South Center Pediatric Dentistry And Orthodontic 505 Strander Blvd Tukwila WA 98188-2920 Ph: (206) 575-2556 |
NPI Number | 1275996191 |
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Provider Enumeration Date | 03/29/2016 |
Last Update Date | 03/29/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275996191 | NPI | - | NPPES |
2010685 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 603591381 (Washington) | Primary |
News Archive
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