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Organization
SPARKLING SMILE CARE SERVICES
Active
Organization
SPARKLING SMILE CARE SERVICES
Active
Other names
Sparkle Smile Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARDIN YOKHANA DMD (PRACTICE MANAGER)
(623) 600-4330
Entity
Organization
Contact information
Practice address
3201 W PEORIA AVE STE A103-104, PHOENIX, AZ 85029-4608
(623) 600-4330
(602) 609-4033
Mailing address
3201 W PEORIA AVE STE A103A104, PHOENIX, AZ 85029-4608
(623) 600-4330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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