| North Tacoma Pediatric Dentistry And Orthodontics | |
|
3402 S 18th St Suite B Tacoma WA 98405-1903 | |
| (253) 627-5027 | |
| (253) 383-7747 |
| Full Name | North Tacoma Pediatric Dentistry And Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3402 S 18th St, Tacoma, Washington |
| Authorized Official Name and Position | Mahadeep S Virk (OWNER OPERATOR) |
| Authorized Official Contact | 2536275027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Tacoma Pediatric Dentistry And Orthodontics 3402 S 18th St Suite B Tacoma WA 98405-1903 Ph: (253) 627-5027 | North Tacoma Pediatric Dentistry And Orthodontics 3402 S 18th St Suite B Tacoma WA 98405-1903 Ph: (253) 627-5027 |
| NPI Number | 1942663927 |
|---|---|
| Provider Enumeration Date | 03/29/2016 |
| Last Update Date | 03/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942663927 | NPI | - | NPPES |
| 2010685 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 603591384 (Washington) | Primary |
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