# WASHINGTON DENTAL CORPORATION, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dentists of Puyallup
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295371128
- **Authorized official:** PETER CHOUG (OWNER)
- **Authorized official phone:** (253) 267-7112

## Contact information

- **Practice address:** 732 SHAW RD STE B, PUYALLUP, WA 98372-5276
- **Practice address phone:** (253) 267-7112
- **Mailing address:** PO BOX 920050, DALLAS, TX 75392-5626
- **Mailing address phone:** (714) 845-8890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/26/2019
- **Last updated:** 12/26/2023