Individual
DR. VIRGINIA W. SPISAK V
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
BLDG 4405 INN KEEPER ST, FORT RUCKER, AL 36362
(334) 255-3393
Mailing address
BLDG 4405 INNKEEPER ST, FORT RUCKER, AL 36362
(334) 255-3393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 14083
FL
1223G0001X
General Practice Dentistry
LNO 3910
AL
Other
Enumeration date
04/06/2006
Last updated
09/19/2012
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