Kim D Nordberg Dds, Ps

NPI #1023253424 in Puyallup, Washington

Provider Information

NPI Number: 1023253424
Entity Type: Organization
Organization Name: Kim D Nordberg Dds, Ps
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 14, 2008
Last Updated: Dec 14, 2008

Practice Location

Address: 11023 CANYON RD E
City: Puyallup
State: Washington
ZIP Code: 98373-4264
Phone: (253) 535-6666

Authorized Official

Name: DR. KIM DAVID NORDBERG, DDS
Title: PRESIDENT
Phone: (253) 535-6666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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