Individual
DR. DANIEL B SPAGNOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS, PHD
Contact information
Practice address
90 MEDICAL CENTER DR SW, SUPPLY, NC 28461-3350
(910) 269-2420
(910) 269-2410
Mailing address
621-B NORTH FODALE AVE, SOUTHPORT, NC 28461
(910) 269-2420
(910) 269-2410
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5993
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6340
LA
Other
Enumeration date
02/17/2006
Last updated
08/17/2018
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