Individual
MR. SPENCER ALEXANDER PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4480 N COOPER LAKE RD SE, SUITE 210, SMYRNA, GA 30082-4621
(770) 863-0005
(770) 436-3404
Mailing address
4480 N COOPER LAKE RD SE, SUITE 210, SMYRNA, GA 30082-4621
(770) 863-0005
(770) 436-3404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013020
GA
Other
Enumeration date
01/12/2007
Last updated
06/03/2008
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