Individual
DR. SHAMAINE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8 MEDICAL CENTER RD, EDGEWOOD, NM 87015-7086
(505) 224-8718
(505) 224-8737
Mailing address
8 MEDICAL CENTER RD, P.O. BOX 2606, EDGEWOOD, NM 87015-7086
(505) 224-8718
(505) 224-8737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD3325
NM
Other
Enumeration date
08/19/2010
Last updated
10/03/2011
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