| Sammy B D Pak Dds Pllc | |
|
409 2nd St Ne Puyallup WA 98372-3033 | |
| (253) 845-7611 | |
| (253) 845-0840 |
| Full Name | Sammy B D Pak Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 409 2nd St Ne, Puyallup, Washington |
| Authorized Official Name and Position | Sammy B D Pak (OWNER) |
| Authorized Official Contact | 2538457611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sammy B D Pak Dds Pllc 409 2nd St Ne Puyallup WA 98372-3033 Ph: (253) 845-7611 | Sammy B D Pak Dds Pllc 409 2nd St Ne Puyallup WA 98372-3033 Ph: (253) 845-7611 |
| NPI Number | 1235447384 |
|---|---|
| Provider Enumeration Date | 09/22/2010 |
| Last Update Date | 09/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235447384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00008583 (Washington) | Primary |
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