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Organization
SPARKLE DENTISTRY GRAND PRAIRIE
Active
Organization
SPARKLE DENTISTRY GRAND PRAIRIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARABJIT K KHASSA (PRESIDENT)
(214) 412-2595
Entity
Organization
Contact information
Practice address
1017 FORT WORTH ST STE 100, GRAND PRAIRIE, TX 75050-5404
(214) 412-2595
Mailing address
1017 FORT WORTH ST STE 100, GRAND PRAIRIE, TX 75050-5404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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