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Individual
RALEE SPOONER
Active
Individual
RALEE SPOONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10103
SC
122300000X
Dentist
DN21334
FL
1223P0300X
Periodontics
10105
SC
1223P0300X
Periodontics
Primary
DN21334
FL
Other
Enumeration date
09/03/2015
Last updated
08/21/2024
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