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Individual

DR. CLARK ALLISON SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS MSD

Contact information

Practice address
2904 NORTH FOURTH STREET, SUITE 107, LONGVIEW, TX 75605
(903) 757-0534
(903) 757-7461
Mailing address
2904 NORTH FOURTH STREET, SUITE 107, LONGVIEW, TX 75605
(903) 757-0534
(903) 757-7461

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11536
TX

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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