Covington Orthodontics And Pediatric Dentistry L.l.c. | |
17121 Se 270th Pl Ste 102 Covington WA 98042-5431 | |
(253) 533-2999 | |
Not Available |
Full Name | Covington Orthodontics And Pediatric Dentistry L.l.c. |
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Speciality | Dentist - Pediatric Dentistry |
Location | 17121 Se 270th Pl, Covington, Washington |
Authorized Official Name and Position | Mahadeep Virk (OWNER) |
Authorized Official Contact | 2067865351 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Covington Orthodontics And Pediatric Dentistry L.l.c. 17121 Se 270th Pl Ste 102 Covington WA 98042-5431 Ph: (253) 533-2999 | Covington Orthodontics And Pediatric Dentistry L.l.c. 17121 Se 270th Pl Ste 102 Covington WA 98042-5431 Ph: (253) 533-2999 |
NPI Number | 1780121673 |
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Provider Enumeration Date | 01/30/2017 |
Last Update Date | 02/14/2017 |
Identifier | Type | State | Issuer |
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1780121673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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