Individual
SPENCER ALAN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
72 BEECHLAND RD, ELLSWORTH, ME 04605-2533
(207) 667-6789
Mailing address
21 AUTUMN RD, ELLSWORTH, ME 04605-8103
(207) 357-6775
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN4734
ME
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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