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23805 Highway 99 Suite 100 Edmonds WA 98026-9204 | |
| (425) 778-6333 | |
| (425) 778-6115 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 23805 Highway 99, Edmonds, Washington |
| Authorized Official Name and Position | Mahadeep S Virk (PRESIDENT) |
| Authorized Official Contact | 4257786333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
23805 Highway 99 Suite 100 Edmonds WA 98026-9204 Ph: (425) 778-6333 | 23805 Highway 99 Suite 100 Edmonds WA 98026-9204 Ph: (425) 778-6333 |
| NPI Number | 1528275278 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528275278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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