Organization
SPENCER AND SPENCER PEDIATRIC DENTISTRY, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLYNN STEPHEN SPENCER D.D.S. (OWNER)
(816) 607-6000
Entity
Organization
Contact information
Practice address
301 NE MULBERRY ST, SUITE #201, LEES SUMMIT, MO 64086-5818
(816) 373-2052
Mailing address
301 NE MULBERRY ST, SUITE #201, LEES SUMMIT, MO 64086-5818
(816) 373-2052
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2000161231
MO
Other
Enumeration date
09/04/2010
Last updated
09/04/2010
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