Organization · Type 2 NPI

Karbakhsch Periodontics & Implants - South PLLC

Periodontics · Puyallup, WA

NPI number 1639458722 Active

Practice location

819 39th Ave SW Ste B
Puyallup, WA 98373-3306

Call (253) 752-6336 Map

Fax (253) 752-5655

Mailing address

2302 S Union Ave Ste C22
Tacoma, WA 98405-1334

Specialties and licenses

Taxonomy	Code	License
Periodontics Primary	1223P0300X	8579 (WA)

Periodontics: 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.

Another provider at this address

Pla & Watts DDS MSD PLLCEndodontics Puyallup, WA NPI 1295282747

NPI record

NPI: 1639458722
Entity type: Organization (Type 2)
Issued: Aug 8, 2011
Last updated: Aug 8, 2011
Status: Active
Subpart: Yes of Karbakhsch Periodontics & Implants

Other names

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MK Periodontics & Implants · doing business as

Authorized official

Dr. Minou Karbakhsch, DDS, MSD
Owner
(253) 752-6336

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639458722

Karbakhsch Periodontics & Implants - South PLLC's National Provider Identifier is 1639458722, issued on Aug 8, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Puyallup, WA. The record was last updated on Aug 8, 2011.