Individual
DR. DANIEL JON SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
3928 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-1558
Mailing address
21208 ISLAND PKWY E, LAKE TAPPS, WA 98391-9072
(253) 973-5462
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010964
WA
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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