DR. Spencer Moser Willardsen, DDS
NPI #1790869527 in University Place, Washington
Provider Information
- NPI Number
- 1790869527
- Entity Type
- Individual
- Name
- DR. Spencer Moser Willardsen, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8100 27TH ST WEST
- City
- University Place
- State
- Washington
- ZIP Code
- 98466-2717
- Phone
- (253) 564-7911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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