NPI | 1972988137 |
---|---|
Doing Business As | SPENCER FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | ANNA K SPENCER Dentist 253-279-1877 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA DE00010963) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2015-07-29 |
Last Update Date | 2015-07-29 |