Individual
BRENT ALLEN SPEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4730 BOAT CLUB RD, FORT WORTH, TX 76135-2002
(817) 237-0388
Mailing address
4601 BYERS AVE, FORT WORTH, TX 76107-4129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21247
TX
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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