Individual
DR. ADAM CLARK SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, M.S.
Contact information
Practice address
2904 N. 4TH ST, SUITE 107, LONGVIEW, TX 75605
(903) 757-0534
Mailing address
2904 N. 4TH ST, SUITE 107, LONGVIEW, TX 75605
(903) 757-0534
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
23261
TX
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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