NPI | 1205958816 |
---|---|
Doing Business As | SPENCER FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | GINA HANNA Practice COO Rdinator 508-885-5511 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2007-04-04 |
Last Update Date | 2020-08-22 |