Individual
SPENCER B TWADDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
231 E SUMMIT DR, MARYVILLE, MO 64468-3617
(660) 582-2273
Mailing address
231 E SUMMIT DR, MARYVILLE, MO 64468-3617
(660) 582-2273
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2020021695
MO
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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