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Individual

RALEE SPOONER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
NAVAL HOSPITAL BEAUFORT, 1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(432) 228-3796
Mailing address
4100 PAW PAW CROSSING, APT #4134, NEW BERN, NC 28562-0001

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
10103
SC
122300000X
Dentist
DN21334
FL
1223P0300X
Periodontics
10105
SC
1223P0300X
Periodontics
Primary
DN21334
FL

Other

Enumeration date
09/03/2015
Last updated
08/21/2024
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