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Individual

RICHARD W. SPENCER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
22 VINE ST, HUNTINGTON, IN 46750-1409
(260) 356-9550
(260) 356-5181
Mailing address
22 VINE ST, HUNTINGTON, IN 46750-1409
(260) 356-9550
(260) 356-5181

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009308
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
119197
CHILDREN'S SPECIAL HEALTH
IN
Enumeration date
05/08/2006
Last updated
07/08/2007
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