| NPI | 1447077839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHADEEP VIRK Owner 253-848-4537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |