| NPI | 1861057648 |
|---|---|
| Doing Business As | DRS SPIVAK AND WILLIAMS |
| Entity Type | Organization |
| Authorized Contact | JAKE WILLIAMS Owner 385-335-0929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |