Bansuk Ju, DDS

NPI #1669993226 in Tumwater, Washington

Provider Information

NPI Number: 1669993226
Entity Type: Individual
Name: Bansuk Ju, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 3, 2017
Last Updated: Jul 3, 2017

Practice Location

Address: 6015 CAPITOL BLVD SW
City: Tumwater
State: Washington
ZIP Code: 98501-5268
Phone: (360) 943-5420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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