| Kids Choice Dental Puyallup, Llc | |
|
9317 113th St E Suite A Puyallup WA 98373-3876 | |
| (253) 848-7000 | |
| (253) 604-0598 |
| Full Name | Kids Choice Dental Puyallup, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9317 113th St E, Puyallup, Washington |
| Authorized Official Name and Position | Mahadeed S Virk (OWNER OPERATOR) |
| Authorized Official Contact | 2538487000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Choice Dental Puyallup, Llc 9317 113th St E Suite A Puyallup WA 98373-3876 Ph: (253) 848-7000 | Kids Choice Dental Puyallup, Llc 9317 113th St E Suite A Puyallup WA 98373-3876 Ph: (253) 848-7000 |
| NPI Number | 1891158861 |
|---|---|
| Provider Enumeration Date | 03/29/2016 |
| Last Update Date | 04/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891158861 | NPI | - | NPPES |
| 2010685 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 603591386 (Washington) | Primary |
Steven S. Broughton, D.d.s. & Angela L. Dunn, D.d.s., P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8012 112th Street Ct E, Suite #320, Puyallup, WA 98373 Phone: 253-848-2331 Fax: 253-840-4033 | |
Mahadeep Virk, Dmd-puyallup Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10317 122nd St E, Suite D, Puyallup, WA 98374 Phone: 253-435-5656 Fax: 253-435-5838 | |
Levi Reynolds Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2921 5th Ave Ne Ste 110, Puyallup, WA 98372 Phone: 253-841-3173 | |
Kim D Nordberg Dds, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11023 Canyon Rd E, Puyallup, WA 98373 Phone: 253-535-6666 Fax: 253-535-5432 | |
Skountrianos Dds Ms & Virk Dmd Ms Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 40th Ave Sw Ste 300, Puyallup, WA 98373 Phone: 253-845-6784 | |
Andrea M Fonner, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 3rd St Se, Puyallup, WA 98372 Phone: 206-579-5163 | |
Paula Stepp Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15614 Meridian E Ste 400, Puyallup, WA 98375 Phone: 618-363-6496 |