NPI | 1275996191 |
---|---|
Doing Business As | SOUTH CENTER PEDIATRIC DENTISTRY AND ORTHODONTIC |
Entity Type | Organization |
Authorized Contact | MAHADEEP S VIRK Owner Operator 206-575-2556 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: WA 603591381) |
Enumeration Date | 2016-03-29 |
Last Update Date | 2016-03-29 |