| NPI | 1255418331 |
|---|---|
| Doing Business As | SPENCER DENTAL |
| Entity Type | Organization |
| Authorized Contact | GAIL DARDEN Manager Of Credentialing 770-916-8143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-01-18 |