# PULLMAN FAMILY DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1821003237
- **Authorized official:** DR. JACK CHIANG DDS (PRESIDENT/DENTIST)
- **Authorized official phone:** (509) 332-3213

## Contact information

- **Practice address:** 840 SE BISHOP BLVD STE 204, PULLMAN, WA 99163-5502
- **Practice address phone:** (509) 332-3213
- **Mailing address:** 840 SE BISHOP BLVD STE 204, PULLMAN, WA 99163-5502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8759 | WA | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 08/22/2020
