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General NPI Number Information
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NPI Number | 1114875366
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Entity Type | Organization
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Legal Business Name | E. POLSKY DDS & B. VIRK DMD MSD, PLLC
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 22530 SE 64TH PL STE 130
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City | ISSAQUAH
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State | WA
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Zip | 98027-5353
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Country | US
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Telephone | 425-392-2499
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Fax |
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Provider Business Mailing Address
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Address Line | 210 4TH AVE SW
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City | PUYALLUP
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State | WA
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Zip | 98371-5863
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Country | US
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Telephone | 253-848-4537
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Fax | 844-726-8800
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Authorized Official
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Title or Position | ORTHODONTIST/OWNER
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Name | MAHADEEP VIRK
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Credential |
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Telephone | 206-786-5351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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