# GEORGE G. GHOSN D.D.S.,P.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083753305
- **Authorized official:** DR. GEORGE GHOSN GHOSN D.D.S. (DENTIST)
- **Authorized official phone:** (253) 845-7911

## Contact information

- **Practice address:** 604 S MERIDIAN, PUYALLUP, WA 98371-5998
- **Practice address phone:** (253) 845-7911
- **Practice address fax:** (253) 845-1475
- **Mailing address:** 604 S MERIDIAN, PUYALLUP, WA 98371-5998
- **Mailing address phone:** (253) 845-7911
- **Mailing address fax:** (253) 845-1475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 003371 | WA | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 08/22/2020