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Individual

SPENSER AUSTIN DURST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7101 HOFF ST BLDG 9240, FORT BENNING, GA 31905-5645
(706) 544-2051
Mailing address
193 PEBBLEBROOK LN, COLUMBUS, GA 31904-3804
(512) 888-6179

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35143
TX

Other

Enumeration date
06/24/2019
Last updated
03/16/2023
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