DR. Virginia W. Spisak V, D.M.D
NPI #1447212170 in Fort Rucker, Alabama
Provider Information
- NPI Number
- 1447212170
- Entity Type
- Individual
- Name
- DR. Virginia W. Spisak V, D.M.D
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D
- Enumeration Date
- Apr 6, 2006
- Last Updated
- Sep 19, 2012
Practice Location
- Address
- BLDG 4405 INN KEEPER ST
- City
- Fort Rucker
- State
- Alabama
- ZIP Code
- 36362
- Phone
- (334) 255-3393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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