Individual
SPENCER TODD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
112 E 12450 S, BLDG A100, DRAPER, UT 84020-8056
(801) 571-6751
Mailing address
112 E 12450 S, BLDG A100, DRAPER, UT 84020-8056
(801) 571-6751
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7618813-9923
UT
Other
Enumeration date
05/22/2008
Last updated
12/01/2011
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