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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