| Kim D Nordberg Dds, Ps | |
|
11023 Canyon Rd E Puyallup WA 98373-4264 | |
| (253) 535-6666 | |
| (253) 535-5432 |
| Full Name | Kim D Nordberg Dds, Ps |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11023 Canyon Rd E, Puyallup, Washington |
| Authorized Official Name and Position | Kim David Nordberg (PRESIDENT) |
| Authorized Official Contact | 2535356666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim D Nordberg Dds, Ps 11023 Canyon Rd E Puyallup WA 98373-4264 Ph: (253) 535-6666 | Kim D Nordberg Dds, Ps 11023 Canyon Rd E Puyallup WA 98373-4264 Ph: (253) 535-6666 |
| NPI Number | 1023253424 |
|---|---|
| Provider Enumeration Date | 12/14/2008 |
| Last Update Date | 12/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023253424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5301 (Washington) | Primary |
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