Organization
SPENCEBURZYNSKI LLC
Active
Other names
Innovative Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY M SPENCE D.D.S., M.D.S. (OWNER/PROVIDER)
(573) 450-1141
Entity
Organization
Contact information
Practice address
2103 BROADWAY, CAPE GIRARDEAU, MO 63701
(573) 332-7223
(573) 334-7379
Mailing address
2103 BROADWAY, CAPE GIRARDEAU, MO 63701
(573) 332-7223
(573) 334-7379
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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