Individual
DR. JACK DAVID SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
411 MCMURRAY ROAD, SUITE 101, BETHEL PARK, PA 15102-1164
(412) 835-2288
(412) 835-8054
Mailing address
411 MCMURRAY ROAD, SUITE 101, BETHEL PARK, PA 15102-1164
(412) 835-2288
(412) 835-8054
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS012308L
PA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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