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1790785061
GREGORY KEITH SPACKMAN
SAN ANTONIO, TX
NPI
1790785061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: TX 17454)
Enumeration Date
2005-07-28
Last Update Date
2014-01-28
Business Address
-- GREGORY KEITH SPACKMAN DDS MBA
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229-3901
Phone number: 210-567-3477
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Mailing Address
-- GREGORY KEITH SPACKMAN DDS MBA
7703 FLOYD CURL DR
SAN ANTONIO, TX 78229-3901
Phone number: 210-567-3470
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