| Spenceburzynski Llc | |
|
2103 Broadway Cape Girardeau MO 63701 | |
| (573) 332-7223 | |
| (573) 334-7379 |
| Full Name | Spenceburzynski Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2103 Broadway, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Terry M Spence (OWNER/PROVIDER) |
| Authorized Official Contact | 5734501141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spenceburzynski Llc 2103 Broadway Cape Girardeau MO 63701 Ph: (573) 332-7223 | Spenceburzynski Llc 2103 Broadway Cape Girardeau MO 63701 Ph: (573) 332-7223 |
| NPI Number | 1114631439 |
|---|---|
| Provider Enumeration Date | 01/11/2023 |
| Last Update Date | 01/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114631439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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