Organization
KIM D NORDBERG DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDER NORDBERG DDS (OWNER/DENTIST)
(253) 535-6666
Entity
Organization
Contact information
Practice address
11023 CANYON RD E, PUYALLUP, WA 98373-4264
(253) 535-6666
(253) 535-5432
Mailing address
11023 CANYON RD E, PUYALLUP, WA 98373-4264
(253) 535-6666
(253) 535-5432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5301
WA
Other
Enumeration date
12/14/2008
Last updated
05/06/2026
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