| NPI | 1942943501 |
|---|---|
| Doing Business As | PUGET SOUND PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | THOMAS C KANG Owner 425-577-9570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-04-20 |