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Organization
SPARKLE DENTAL LLC
Active
Organization
SPARKLE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA MALAK ASSAD DDS (DENTIST)
(586) 751-2020
Entity
Organization
Contact information
Practice address
30801 SCHOENHERR RD, STE 200, WARREN, MI 48088-6857
(586) 751-2020
(586) 751-7872
Mailing address
30801 SCHOENHERR RD, STE 200, WARREN, MI 48088-6857
(586) 751-2020
(586) 751-7872
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020415
MI
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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