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Individual
WAYNE JULIAN SPECTOR
Active
Individual
WAYNE JULIAN SPECTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-1762
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS4867
ID STATE BOARD OF PHARMAC
ID
01
—
D-1762
ID STATE BOARD OF DENTIST
ID
Enumeration date
05/18/2007
Last updated
07/08/2007
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