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1730389149
DANIEL JON SPENCER
PUYALLUP, WA
NPI
1730389149
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Other Name
DANIEL SPENCER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WA DE00010964)
Enumeration Date
2007-07-23
Last Update Date
2007-07-23
Business Address
DR. DANIEL JON SPENCER D.M.D
3928 10TH ST SE
PUYALLUP, WA 98374-2188
Phone number: 253-848-1558
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Mailing Address
DR. DANIEL JON SPENCER D.M.D
21208 ISLAND PKWY E
LAKE TAPPS, WA 98391-9072
Phone number: 253-973-5462
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