OrganizationActive
Korsmo & Henry Ddd Ps
NPI 1891158317 · General Practice Dentistry · Puyallup, WA
Provider details
- NPI number
- 1891158317
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Tamara Rosario, Office Manager(253) 770-0529
- License
- 5254 (WA)
Specialties & taxonomies
Dental Providers
Practice location
5620 112th St E
Suite 250
Puyallup, WA 98373-3206
Phone: (253) 770-0529
Fax: (253) 770-9638
Approximate (ZIP-level) locationGet directions
Mailing address
5620 112th St E
Puyallup, WA 98373-3206
Other names (DBA / former)
- Doing business as
- Puyallup Family Dental
Registry dates
- Enumerated
- 2016-04-01
- Last updated
- 2016-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.