Individual
SPENCER JENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5331 E 21ST ST N, WICHITA, KS 67208-1647
(316) 681-2688
(316) 681-0869
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 310-1056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61806
KS
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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