| NPI | 1154537280 |
|---|---|
| Doing Business As | AVENUE DENTAL CARE - BREMERTON |
| Entity Type | Organization |
| Authorized Contact | MAHADEEP S VIRK President 360-792-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-12-07 |