| South Center Pediatric Dentistry And Orthodontic | |
|
505 Strander Blvd Tukwila WA 98188-2920 | |
| (206) 575-2556 | |
| (253) 604-0598 |
| Full Name | South Center Pediatric Dentistry And Orthodontic |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 505 Strander Blvd, Tukwila, Washington |
| Authorized Official Name and Position | Mahadeep S Virk (OWNER OPERATOR) |
| Authorized Official Contact | 2065752556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Center Pediatric Dentistry And Orthodontic 505 Strander Blvd Tukwila WA 98188-2920 Ph: (206) 575-2556 | South Center Pediatric Dentistry And Orthodontic 505 Strander Blvd Tukwila WA 98188-2920 Ph: (206) 575-2556 |
| NPI Number | 1275996191 |
|---|---|
| Provider Enumeration Date | 03/29/2016 |
| Last Update Date | 03/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275996191 | NPI | - | NPPES |
| 2010685 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 603591381 (Washington) | Primary |
Lance Timmerman Dmdps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 Fort Dent Way, Suite #270, Tukwila, WA 98188 Phone: 206-241-5533 Fax: 206-241-5538 | |
Aesthetic Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Strander Blvd Ste 205, Tukwila, WA 98188 Phone: 206-430-5481 Fax: 206-430-5481 | |
Pacific Northwest Periodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Strander Blvd, Suite 302, Tukwila, WA 98188 Phone: 206-575-1086 Fax: 206-575-0829 | |
Harchand Singh, Dds, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13955 Interurban Ave S, Tukwila, WA 98168 Phone: 206-431-0953 Fax: 206-439-6860 | |
Kwang Hyo Kim, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 664 Strander Blvd, Tukwila, WA 98188 Phone: 425-271-5177 | |
Affordable Dental Group Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Strander Blvd, Ste 204, Tukwila, WA 98188 Phone: 360-224-6445 | |
Larry Heggerness Social Purpose Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6720 Fort Dent Way Ste 120, Tukwila, WA 98188 Phone: 206-242-4121 Fax: 206-242-4113 |