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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 ANH NGUYEN (PRESIDENT)
(469) 831-0890
Entity
Organization
Contact information
Practice address
1017 FT. WORTH ST., SUITE100, GRAND PRAIRIE, TX 75050
(214) 412-2602
Mailing address
1017 FT. WORTH ST., SUITE100, GRAND PRAIRIE, TX 75050
(214) 412-2602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21736
TX
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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