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1124470604
SPENCER BURNHAM
MEDFORD, OR
NPI
1124470604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: OR D10464)
Enumeration Date
2016-07-07
Last Update Date
2016-07-07
Business Address
SPENCER BURNHAM DMD
1150 CRATER LAKE AVE SUITE L
MEDFORD, OR 97504-6213
Phone number: 541-499-0292
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Mailing Address
SPENCER BURNHAM DMD
10712 S HOLLOW CV
SANDY, UT 84070-5296
Phone number: 206-450-1885
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