Korsmo & Henry DDS Ps
Dentist in Puyallup, WA. Organization (NPI-2).
NPI number1982154233
StatusActive
Last updated in NPPESOct 11, 2016
Details
- NPI
- 1982154233
- Entity type
- Organization (NPI-2)
- Legal business name
- Korsmo & Henry DDS Ps
- Organization subpart
- No
- Enumeration date
- Oct 11, 2016
- Last updated
- Oct 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | de00011049 | WA | Yes |
Other names
- Puyallup Family Dental (Doing Business As)
Practice location
5620 112th St E Ste 250Puyallup, WA 98373-3218
Phone 253-770-0529 · Fax 253-770-9638
Mailing address
5620 112th St E Ste 250Puyallup, WA 98373-3218
Phone 253-770-0529 · Fax 253-770-9638
Authorized official
Darilyn Henry
General Manager
2537700529
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