Organization
DJ AND AK 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) 279-1877
Entity
Organization
Contact information
Practice address
22205 MERIDIAN AVE E, SUITE 109, GRAHAM, WA 98338
(253) 875-6599
Mailing address
22205 MERIDIAN AVE E, SUITE 109, GRAHAM, WA 98338
(253) 875-6599
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010963
WA
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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