Individual
SPENCER J ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S.
Contact information
Practice address
1053 RONDALE COURT, DARDENNE PRAIRIE, MO 63368
(636) 379-4500
(636) 272-4551
Mailing address
1053 RONDALE COURT, DARDENNE PRAIRIE, MO 63368
(636) 379-4500
(636) 272-4551
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2011025531
MO
Other
Enumeration date
07/25/2007
Last updated
10/21/2011
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