Individual
MRS. PHUONG QUYNH NGOC SPICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
150-160 NORTH LOUISVILLE STREET, HARLEM, GA 30814-5084
(706) 449-8352
(706) 449-8005
Mailing address
PO BOX 850, HARLEM, GA 30814-0850
(706) 449-8352
(706) 449-8005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015406
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN015406
GEORGIA DENTAL LICENSE
GA
Enumeration date
06/03/2017
Last updated
02/06/2023
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