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Organization
SPARKS DENTAL P.A
Active
Organization
SPARKS DENTAL P.A
Active
Parent organization
SPARKS DENTAL P.A
Other names
Orbit Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARKS DENTAL P.A
Authorized official
ARCHANA MANOHAR LANKUPALLI DDS (PRESIDENT)
(732) 688-5939
Entity
Organization
Contact information
Practice address
6904 TABERNACLE DR, PLANO, TX 75024-7560
(732) 688-5939
Mailing address
6904 TABERNACLE DR, PLANO, TX 75024-7560
(732) 688-5939
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25821
TX
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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