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Organization
USPARKLE DENTAL PA
Active
Organization
USPARKLE DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMILA HUSAIN (MANAGING DIRECTOR)
(832) 781-0462
Entity
Organization
Contact information
Practice address
1013 DAIRY ASHFORD RD, HOUSTON, TX 77079-4602
(832) 781-0462
(832) 770-9366
Mailing address
1013 DAIRY ASHFORD RD, HOUSTON, TX 77079-4602
(832) 781-0462
(832) 770-9366
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
23488
TX
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699944660
—
TX
Enumeration date
05/16/2017
Last updated
05/16/2017
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