Korsmo & Henry Ddd Ps
NPI #1891158317 in Puyallup, Washington
Provider Information
- NPI Number
- 1891158317
- Entity Type
- Organization
- Organization Name
- Korsmo & Henry Ddd Ps
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 1, 2016
- Last Updated
- Apr 1, 2016
Practice Location
- Address
- 5620 112TH ST E
- Address 2
- SUITE 250
- City
- Puyallup
- State
- Washington
- ZIP Code
- 98373-3206
- Phone
- (253) 770-0529
Authorized Official
- Name
- TAMARA ROSARIO
- Title
- OFFICE MANAGER
- Phone
- (253) 770-0529
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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