Individual
HAILEY SPECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1032 CROSSWINDS CT, WENTZVILLE, MO 63385-4836
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2022021895
MO
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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