# SPARKLE DENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Life Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700920188
- **Authorized official:** DR. TUAN NGUYEN (PRESIDENT)
- **Authorized official phone:** (214) 780-0600

## Contact information

- **Practice address:** 3330 DOUGLAS AVE, DALLAS, TX 75219-2717
- **Practice address phone:** (214) 780-0600
- **Mailing address:** 3330 DOUGLAS AVE STE B, DALLAS, TX 75219-2717
- **Mailing address phone:** (214) 780-0600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 21736 | TX | Yes |

## Other

- **Enumeration date:** 02/17/2007
- **Last updated:** 01/06/2022