Individual
DR. CAITLIN SPACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2704 12TH ST S, MOORHEAD, MN 56560-4621
(218) 233-0570
Mailing address
1650 45TH ST S STE 108, FARGO, ND 58103-3247
(701) 526-4652
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D14526
MN
1223G0001X
General Practice Dentistry
Primary
2404
ND
Other
Enumeration date
06/17/2020
Last updated
05/13/2024
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