KARBAKHSCH PERIODONTICS & IMPLANTS - SOUTH PLLC NPI 1639458722

NPI Information

KARBAKHSCH PERIODONTICS & IMPLANTS - SOUTH PLLC is a periodontics dentist in Puyallup, WA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. KARBAKHSCH PERIODONTICS & IMPLANTS - SOUTH PLLC NPI is 1639458722. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mk Periodontics & Implants.

The provider's business location address is:

819 39TH AVE SW STE B
PUYALLUP, WA
ZIP 98373-306
Phone: (253) 752-6336
Fax: (253) 752-5655

The provider's authorized official is Minou Karbakhsch .
The authorized official title is Owner and has the following contact phone number (253) 752-6336.

The enumeration date for this NPI number is 8/8/2011 and was last updated on 8/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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