| NPI | 1710577416 |
|---|---|
| Doing Business As | KORSMO FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | LARS K.C. KORSMO Dentist/Owner 253-759-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-01-26 |