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Individual

DAVID REID SPIVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
134 1ST ST SE, LAFAYETTE, AL 36862-2304
(334) 864-8808
(334) 864-8840
Mailing address
134 1ST ST SE, LAFAYETTE, AL 36862-2304
(334) 864-8808
(334) 864-8840

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5763
AL

Other

Enumeration date
06/17/2010
Last updated
06/17/2010
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