| Street | 202 Roosevelt St | ||
| City/Town | Tonawanda | ||
| State/Province/Region | New York | ||
| Zip/Postal Code | 14150 | ||
| Phone Number | (716) 260-2389 | ||
| Country | United States |
| Full Name | Mrs. Larissa Spinka DDS | ||
| Gender | female | ||
| Birthday | 1981-04-27 | ||
| Social Security Number | 008-94-9977 |
| Credit card brand | Mastercard | ||
| Credit card number | 5247952222857272 | ||
| Expire | 2031/5 | ||
| CVV | 581 |