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Organization
MICHAEL D. SPENCER, DDS, LLC
Active
Organization
MICHAEL D. SPENCER, DDS, LLC
Active
Other names
Riverside Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D. SPENCER DDS (PRESIDENT)
(904) 355-5531
Entity
Organization
Contact information
Practice address
1061 RIVERSIDE AVE, SUITE 101, JACKSONVILLE, FL 32204-4152
(904) 355-5531
(904) 791-9239
Mailing address
1061 RIVERSIDE AVE, SUITE 101, JACKSONVILLE, FL 32204-4152
(904) 355-5531
(904) 791-9239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8985
FL
Other
Enumeration date
02/28/2007
Last updated
06/23/2008
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