# SPENCER S. JILEK, DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053678102
- **Authorized official:** CINDY M CHRISTENSEN (OFFICE MANAGER)
- **Authorized official phone:** (509) 547-0730

## Contact information

- **Practice address:** 9221 SANDIFUR PARKWAY, SUITE B, PASCO, WA 99301-9241
- **Practice address phone:** (509) 547-0730
- **Practice address fax:** (509) 547-8860
- **Mailing address:** 9221 SANDIFUR PARKWAY, SUITE B, PASCO, WA 99301-9241
- **Mailing address phone:** (509) 547-0730
- **Mailing address fax:** (509) 547-8860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5582 | WA | Yes |
| 122300000X | Dentist | 60232759 | WA | — |

## Other

- **Enumeration date:** 04/13/2012
- **Last updated:** 04/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5475502 | — | WA |