Individual
DR. JOHN KEITH SPITZNAGEL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., PH.D.
Contact information
Practice address
17818 FORESTON RD, PARKTON, MD 21120-9657
(443) 465-4745
Mailing address
17818 FORESTON RD, PARKTON, MD 21120-9657
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
13864
MD
1223P0300X
Periodontics
15287
MA
1223P0300X
Periodontics
DS037003
PA
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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