Individual
DR. SPENCER MOSER WILLARDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8100 27TH ST WEST, UNIVERSITY PLACE, WA 98466-2717
(253) 564-7911
(253) 564-3649
Mailing address
8100 27TH ST WEST, UNIVERSITY PLACE, WA 98466-2717
(253) 564-7911
(253) 564-3649
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00004013
WA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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