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Organization

KORSMO & HENRY DDS PS

Active
Other names
Puyallup Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DARILYN HENRY (GENERAL MANAGER)
(253) 770-0529
Entity
Organization

Contact information

Practice address
5620 112TH ST E STE 250, PUYALLUP, WA 98373-3218
(253) 770-0529
(253) 770-9638
Mailing address
5620 112TH ST E STE 250, PUYALLUP, WA 98373-3218
(253) 770-0529
(253) 770-9638

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00011049
WA

Other

Enumeration date
10/11/2016
Last updated
10/11/2016
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