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Individual

DR. TEDDY HENRY SPENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3060 MAIN ST, EXMORE, VA 23350-4736
(757) 442-3313
(757) 442-9677
Mailing address
3060 MAIN ST, PO BOX 819, EXMORE, VA 23350-4736
(757) 442-3313
(757) 442-9677

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005191
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0401005191
VA LICENSE NO
VA
05
7817177
VA
Enumeration date
07/19/2006
Last updated
07/09/2007
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