Covington Orthodontics and Pediatric Dentistry L.L.C.

Organization Active NPI Pediatric Dentistry · Covington, WA

NPI 1780121673 · NPPES record last updated Feb 14, 2017

Key facts

NPI
1780121673
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Dentistry 1223P0221X
Legal business name
COVINGTON ORTHODONTICS AND PEDIATRIC DENTISTRY L.L.C.
Practice address
17121 SE 270TH PL
Ste 102
Covington, WA 98042-5431
Phone
(253) 533-2999
NPI assigned
Jan 30, 2017
Organization subpart
No

Authorized official

Name
Mahadeep Virk, DDS
Title
Owner
Phone
(206) 786-5351

National Provider Directory

Locations

17121 SE 270th Pl
Ste 102
Covington, WA 98042
Phone (253) 533-2999

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223P0221X Yes
Orthodontics and Dentofacial Orthopedics Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223X0400X

Addresses

Primary practice location

17121 SE 270TH PL
Ste 102
Covington, WA 98042-5431

Mailing address

17121 SE 270TH PL
Ste 102
Covington, WA 98042-5431
Phone (253) 533-2999

Other providers in Covington, WA

All providers in Covington, WA · Pediatric Dentistry in Washington

Sources for this page

Verify at the official NPI Registry.