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Organization
SPARKLE123PLLC
Active
Organization
SPARKLE123PLLC
Active
Other names
Rosenberg Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANVI DUSANE (OWNER DENTIST)
(281) 853-4249
Entity
Organization
Contact information
Practice address
2307 4TH ST, ROSENBERG, TX 77471-5174
(281) 232-2887
Mailing address
2307 4TH ST, ROSENBERG, TX 77471-5174
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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