Individual
MARSHALL SPOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11203 N 56TH ST, TEMPLE TERRACE, FL 33617-2256
(813) 985-2477
Mailing address
11203 N 56TH ST, TEMPLE TERRACE, FL 33617-2256
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4423
FL
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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