Provider Demographics
NPI:1558537597
Name:SPERO, VINCENT FRANK (DDS)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:FRANK
Last Name:SPERO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 VALLEY VIEW AVE #2
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-1976
Mailing Address - Country:US
Mailing Address - Phone:626-510-6633
Mailing Address - Fax:626-510-6120
Practice Address - Street 1:1401 MISSION ST UNIT C4
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-3287
Practice Address - Country:US
Practice Address - Phone:626-399-0204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2021-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA481851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice