Organization
PULLMAN FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK CHIANG DDS (PRESIDENT/DENTIST)
(509) 332-3213
Entity
Organization
Contact information
Practice address
840 SE BISHOP BLVD STE 204, PULLMAN, WA 99163-5502
(509) 332-3213
Mailing address
840 SE BISHOP BLVD STE 204, PULLMAN, WA 99163-5502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8759
WA
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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