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Organization
SPARKLE DENTAL CENTER OF GRAND PRAIRIE
Active
Organization
SPARKLE DENTAL CENTER OF GRAND PRAIRIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUAN NGUYEN DDS (OWNER)
(469) 432-4622
Entity
Organization
Contact information
Practice address
1017 FT WORTH ST, STE 100, GRAND PRAIRIE, TX 75060
(469) 432-4622
Mailing address
1017 FT WORTH ST, STE 100, GRAND PRAIRIE, TX 75060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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