Individual
SPENCER S JILEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9221 SANDIFUR PARKWAY, SUITE B, PASCO, WA 99301
(509) 547-0730
(509) 547-8860
Mailing address
9221 SANDIFUR PARKWAY, SUITE B, PASCO, WA 99301
(509) 547-0730
(509) 547-8860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5587
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5075502
—
WA
Enumeration date
09/13/2006
Last updated
07/08/2007
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