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Organization
DANIEL AND ANNA SPENCER, DMD, PS
Active
Organization
DANIEL AND ANNA SPENCER, DMD, PS
Active
Other names
Spencer Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA K SPENCER DMD (DENTIST)
(253) 584-2250
Entity
Organization
Contact information
Practice address
9101 BRIDGEPORT WAY SW, SUITE B1, LAKEWOOD, WA 98499
(253) 584-2250
Mailing address
9101 BRIDGEPORT WAY SW, SUITE B1, LAKEWOOD, WA 98499-2419
(253) 584-2250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010963
WA
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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