| Bansuk Ju Dds Pllc | |
|
2302 S Union Ave Ste A6 Tacoma WA 98405-1332 | |
| (253) 752-4422 | |
| Not Available |
| Full Name | Bansuk Ju Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2302 S Union Ave Ste A6, Tacoma, Washington |
| Authorized Official Name and Position | Bansuk Ju (OWNER) |
| Authorized Official Contact | 2133091305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bansuk Ju Dds Pllc 1635 Sw 330th Pl Federal Way WA 98023-6432 Ph: (213) 309-1305 | Bansuk Ju Dds Pllc 2302 S Union Ave Ste A6 Tacoma WA 98405-1332 Ph: (253) 752-4422 |
| NPI Number | 1023604261 |
|---|---|
| Provider Enumeration Date | 12/11/2020 |
| Last Update Date | 12/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023604261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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