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Individual

DR. CHRISTA D SPANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
5415 SUMMERVILLE RD, SUITE B, PHENIX CITY, AL 36867-7401
(334) 297-7100
(334) 297-7065
Mailing address
5415 SUMMERVILLE RD, SUITE B, PHENIX CITY, AL 36867-7401
(334) 297-7100
(334) 297-7065

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5020
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529911080
AL
Enumeration date
01/10/2007
Last updated
04/08/2010
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