# HUZAIFA YASIN D.M.D., P.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PUYALLUP SUMMIT DENTAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720714439
- **Authorized official:** DR. HUZAIFA YASIN DMD (CEO)
- **Authorized official phone:** (347) 671-5042

## Contact information

- **Practice address:** 11012 CANYON RD E STE 40, PUYALLUP, WA 98373-4200
- **Practice address phone:** (347) 671-5042
- **Mailing address:** 29318 9TH PL S, FEDERAL WAY, WA 98003-3768
- **Mailing address phone:** (347) 671-5042

## Taxonomy

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

## Other

- **Enumeration date:** 07/26/2022
- **Last updated:** 07/26/2022