Speckhardts Dental Lab INC

NPI #1902078421 in Puyallup, Washington

Provider Information

NPI Number: 1902078421
Entity Type: Organization
Organization Name: Speckhardts Dental Lab INC
Primary Specialty: Denturist
Enumeration Date: Mar 25, 2008
Last Updated: Mar 25, 2008

Practice Location

Address: 219 4TH AVE SE
City: Puyallup
State: Washington
ZIP Code: 98372
Phone: (253) 845-7001

Authorized Official

Name: MR. TOM T SPECKHARDT, LD
Title: PRESIDENT
Phone: (253) 845-7001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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