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Spencer Moon, DDS Valid NPI

Individual provider · Dentist · Allen, TX

NPI
1831565464
Type
Individual (Type 1)
Primary specialty
Dentist
Specialty group
Dental Providers
Taxonomy code
122300000X
License number
31392 (TX)
Sex
Male
Sole proprietor
Yes
Enumerated
2015-08-18
Last updated
2015-08-18
Practice location
190 E Stacy Rd Ste 1618
Allen, TX 75002-8770
(469) 854-6220

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