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Korsmo & Henry Ddd Ps — NPI 1891158317, Puyallup, WA | NPI Central

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NPI 1891158317

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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

General Practice DentistryPrimary1223G0001XLicense 5254 (WA)
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

More WA providers

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.