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Organization
SPARKLING DENTAL CARE P.C.
Active
Organization
SPARKLING DENTAL CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH LEBIECKI DMD DDS (PRES OWNER)
(630) 530-4949
Entity
Organization
Contact information
Practice address
401 E NORTH AVE, SUITE 9, VILLA PARK, IL 60181-1218
(630) 530-4949
Mailing address
566 N ELLSWORTH AVE, ADDISON, IL 60101-2917
(630) 279-9000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019022734
IL
Other
Enumeration date
11/24/2006
Last updated
12/20/2012
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