Individual
DR. ERIC DAVID NORDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11025 CANYON RD E STE C, PUYALLUP, WA 98373-4268
(253) 881-1896
(253) 446-7117
Mailing address
8102 66TH AVENUE CT E, PUYALLUP, WA 98371-5593
(253) 881-1896
(253) 446-7117
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE60520428
WA
Other
Enumeration date
08/06/2010
Last updated
02/28/2019
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