Organization
SPECKHARDTS DENTAL LAB INC
Active
Other names
Denture & Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM T SPECKHARDT LD (PRESIDENT)
(253) 845-7001
Entity
Organization
Contact information
Practice address
219 4TH AVE SE, PUYALLUP, WA 98372
(253) 845-7001
(253) 770-6212
Mailing address
PO BOX 69, PUYALLUP, WA 98371
(253) 845-7001
(253) 770-6212
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000132
WA
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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