# JINSAM KWON DDS PLLC

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

## Provider details

- **NPI number:** 1548118847
- **Authorized official:** JINSAM KWON DDS (DENTIST/ OWNER)
- **Authorized official phone:** (253) 770-0198

## Contact information

- **Practice address:** 16515 MERIDIAN E STE 100B, PUYALLUP, WA 98375-6252
- **Practice address phone:** (253) 770-0198
- **Mailing address:** 16515 MERIDIAN E STE 100B, PUYALLUP, WA 98375-6252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/20/2026
- **Last updated:** 03/20/2026