NPI 1023604261

Bansuk Ju DDS PLLC

Organisation Dental Clinic/Center Tacoma, WA

Practice location

Address: 2302 S Union Ave STE A6, Tacoma, WA 98405-1332
Phone: (253) 752-4422
Mailing address: 1635 SW 330th Pl, Federal Way, WA 98023-6432

Authorised official

Name: Bansuk Ju
Title: Owner
Phone: (213) 309-1305

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Washington →

Registry record

NPI: 1023604261
Entity type: Organization
NPI issued: 11 Dec 2020
Record last updated: 11 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.