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Organization
SPARKLE DENTISTRY GRAND PLLC
Active
Organization
SPARKLE DENTISTRY GRAND PLLC
Active
Other names
Sedation Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SARABJIT K. KHASSA D.D.S. (PRESIDENT)
(214) 775-9524
Entity
Organization
Contact information
Practice address
3122 SPENCER HWY, SUITE 170, PASADENA, TX 77504-1155
(713) 470-0954
Mailing address
15110 N. DALLAS PKWY., STE. 470, DALLAS, TX 75248
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/14/2012
Last updated
03/07/2016
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