Individual
SPENCER GLEN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5139 S 1900 W, ROY, UT 84067-2997
(801) 773-7721
(801) 773-1657
Mailing address
5139 S. 1900 W., ROY, UT 84067
(801) 773-7721
(801) 773-1657
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7033505-9921-8903
UT
Other
Enumeration date
02/07/2009
Last updated
07/21/2022
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