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1225218357
SPENCER JERALD BURTON
OMAHA, NE
NPI
1225218357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NE 6935)
Additional Taxonomies
122300000X Dentist
(Licence: AZ 7429)
Enumeration Date
2007-11-06
Last Update Date
2012-09-25
Business Address
Dr. SPENCER JERALD BURTON dds
4920 SOUTH 30TH STREET SUITE 103
OMAHA, NE 68107-1656
Phone number: 402-932-7204
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Mailing Address
Dr. SPENCER JERALD BURTON dds
4920 SOUTH 30TH STREET SUITE 103
OMAHA, NE 68107-1656
Phone number: 402-932-7204
Copy
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