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Organization
KR SAMMY BD PAK DDS PLLC
Active
Organization
KR SAMMY BD PAK DDS PLLC
Active
Other names
Parkland Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
SAMMY BD PAK DDS (OWNER)
(253) 535-5616
Entity
Organization
Contact information
Practice address
13400 PACIFIC AVE S STE 201, TACOMA, WA 98444-4877
(253) 535-5616
Mailing address
13400 PACIFIC AVE S STE 201, TACOMA, WA 98444-4877
(253) 535-5616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008583
WA
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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