Spa Dental Center

NPI #1013090034 in Cambridge Springs, Pennsylvania

Provider Information

NPI Number: 1013090034
Entity Type: Organization
Organization Name: Spa Dental Center
Primary Specialty: Dentist
Enumeration Date: Oct 23, 2006
Last Updated: Mar 9, 2011

Practice Location

Address: 750 VENANGO AVE
City: Cambridge Springs
State: Pennsylvania
ZIP Code: 16403
Phone: (814) 398-2656

Authorized Official

Name: DR. MARIE D CROCKER, D.D.S.
Title: OWNER
Phone: (814) 398-2656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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