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Organization
SPARKS MODERN DENTISTRY
Active
Organization
SPARKS MODERN DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN MCEVOY (OWNER)
(714) 845-8500
Entity
Organization
Contact information
Practice address
2454 WINGFIELD HILLS ROAD, SUITE 100, SPARKS, NV 89436
(775) 525-5510
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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