| 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 |