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Organization
SPARKLE DENTAL GROUP LLC
Active
Organization
SPARKLE DENTAL GROUP LLC
Active
Parent organization
SPARKLE DENTAL GROUP LLC
Other names
Dentique - Lemont
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARKLE DENTAL GROUP LLC
Authorized official
PRADEEP KHURANA (OWNER)
(630) 243-8300
Entity
Organization
Contact information
Practice address
15543 E 127TH ST STE 103, LEMONT, IL 60439-8584
(630) 243-8300
(630) 243-9493
Mailing address
15543 E 127TH ST STE 103, LEMONT, IL 60439-8584
(630) 243-8300
(630) 243-9493
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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