Individual
MR. GERALD W SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1716 W 11TH ST, SEDALIA, MO 65301-5221
(660) 826-3571
(660) 826-3051
Mailing address
1716 W 11TH ST, SEDALIA, MO 65301-5221
(660) 826-3571
(660) 826-3051
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11661
MO
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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