Individual
DR. BRIAN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
U.S. 191 AND HOSPITAL DRIVE, CHINLE, AZ 86503
(928) 674-7001
Mailing address
PO BOX 310, CHINLE, AZ 86503-0310
(480) 440-2252
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010439
AZ
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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