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Organization
SPARKLE DENTAL PC
Active
Organization
SPARKLE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBHASHINI PAMULAPATI DDS (OWNER)
(732) 857-6225
Entity
Organization
Contact information
Practice address
15295 KUTZTOWN RD, KUTZTOWN, PA 19530-8706
(610) 685-6955
(610) 685-6955
Mailing address
15295 KUTZTOWN RD, KUTZTOWN, PA 19530-8706
(610) 685-6955
(610) 685-6955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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