| |
22613 Pacific Hwy S Ste 301 Des Moines WA 98198-5110 | |
(206) 824-7000 | |
(206) 824-4888 |
Full Name | |
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Speciality | Dentist - Endodontics |
Location | 22613 Pacific Hwy S Ste 301, Des Moines, Washington |
Authorized Official Name and Position | Kulwant S Verraich (DDS MDS) |
Authorized Official Contact | 2068247000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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22613 Pacific Hwy S Ste 301 #a Des Moines WA 98198-5110 Ph: (206) 824-7000 | 22613 Pacific Hwy S Ste 301 Des Moines WA 98198-5110 Ph: (206) 824-7000 |
NPI Number | 1760543292 |
---|---|
Provider Enumeration Date | 12/12/2006 |
Last Update Date | 10/22/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760543292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 008393 (Washington) | Primary |
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