Provider Demographics
NPI:1790933208
Name:VIRK, PARNEET (DDS)
Entity Type:Individual
Prefix:
First Name:PARNEET
Middle Name:
Last Name:VIRK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 DAYTONA AVE
Mailing Address - Street 2:APT#A
Mailing Address - City:WINDSOR
Mailing Address - State:ON
Mailing Address - Zip Code:N9B1Y3
Mailing Address - Country:CA
Mailing Address - Phone:519-250-5038
Mailing Address - Fax:
Practice Address - Street 1:3505 WILDER RD STE A
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-2173
Practice Address - Country:US
Practice Address - Phone:989-895-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010198921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice