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Individual

DR. ANTHONY MARK SPAGNUOLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.D.

Contact information

Practice address
407 W IONIA ST, LANSING, MI 48933-1103
(517) 371-4767
(517) 371-4790
Mailing address
407 W IONIA ST, LANSING, MI 48933-1103
(517) 371-4767
(517) 371-4790

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
14587
MI

Other

Enumeration date
05/21/2007
Last updated
07/08/2007
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