NPI 1902078421

Speckhardts Dental Lab INC

Organisation Denturist Puyallup, WA

Practice location

Address: 219 4th Ave SE, Puyallup, WA 98372
Phone: (253) 845-7001
Fax: (253) 770-6212
Mailing address: PO Box 69, Puyallup, WA 98371

Authorised official

Name: Tom T Speckhardt
Title: President
Phone: (253) 845-7001

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DN00000132 (WA)

Other Denturist providers in Washington →

Registry record

NPI: 1902078421
Entity type: Organization
NPI issued: 25 Mar 2008
Record last updated: 25 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.