# SAMMY B D PAK DDS PLLC

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

## Provider details

- **NPI number:** 1235447384
- **Authorized official:** DR. SAMMY B D PAK DDS (OWNER)
- **Authorized official phone:** (253) 845-7611

## Contact information

- **Practice address:** 409 2ND ST NE, PUYALLUP, WA 98372-3033
- **Practice address phone:** (253) 845-7611
- **Practice address fax:** (253) 845-0840
- **Mailing address:** 409 2ND ST NE, PUYALLUP, WA 98372-3033
- **Mailing address phone:** (253) 845-7611
- **Mailing address fax:** (253) 845-0840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00008583 | WA | Yes |

## Other

- **Enumeration date:** 09/22/2010
- **Last updated:** 09/22/2010