| Dental Speciality Clinic | |
|
22613 Pacific Hwy S Ste 301 Des Moines WA 98198-5110 | |
| (206) 824-7000 | |
| (206) 824-4888 |
| Full Name | Dental Speciality Clinic |
|---|---|
| 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 |
|---|---|
| Dental Speciality Clinic 22613 Pacific Hwy S Ste 301 #a Des Moines WA 98198-5110 Ph: (206) 824-7000 | Dental Speciality Clinic 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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