| Spencer S. Jilek, Dds | |
|
9221 Sandifur Parkway Suite B Pasco WA 99301-9241 | |
| (509) 547-0730 | |
| (509) 547-8860 |
| Full Name | Spencer S. Jilek, Dds |
|---|---|
| Speciality | Dentist |
| Location | 9221 Sandifur Parkway, Pasco, Washington |
| Authorized Official Name and Position | Cindy M Christensen (OFFICE MANAGER) |
| Authorized Official Contact | 5095470730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer S. Jilek, Dds 9221 Sandifur Parkway Suite B Pasco WA 99301-9241 Ph: (509) 547-0730 | Spencer S. Jilek, Dds 9221 Sandifur Parkway Suite B Pasco WA 99301-9241 Ph: (509) 547-0730 |
| NPI Number | 1053678102 |
|---|---|
| Provider Enumeration Date | 04/13/2012 |
| Last Update Date | 04/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053678102 | NPI | - | NPPES |
| 5475502 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5582 (Washington) | Primary |
| 122300000X | Dentist | 60232759 (Washington) | Secondary |
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