| Mahadeep Virk Dmd, Msd & Ellen Polsky Dds | |
|
22530 Se 64th Pl Ste 130 Issaquah WA 98027-5353 | |
| (253) 848-4000 | |
| (253) 604-4130 |
| Full Name | Mahadeep Virk Dmd, Msd & Ellen Polsky Dds |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 22530 Se 64th Pl Ste 130, Issaquah, Washington |
| Authorized Official Name and Position | Angie Metzger (BILLING MANAGER) |
| Authorized Official Contact | 2532195730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahadeep Virk Dmd, Msd & Ellen Polsky Dds Po Box 460 Puyallup WA 98371-0047 Ph: (253) 848-4000 | Mahadeep Virk Dmd, Msd & Ellen Polsky Dds 22530 Se 64th Pl Ste 130 Issaquah WA 98027-5353 Ph: (253) 848-4000 |
| NPI Number | 1699590174 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 11/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699590174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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