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Individual
DR. SPENCER C DYKMAN
Active
Individual
DR. SPENCER C DYKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
13965903-9926
UT
122300000X
Dentist
2021018860
MO
1223P0300X
Periodontics
Primary
13965903-9926
UT
Other
Enumeration date
01/04/2022
Last updated
10/28/2024
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