Individual
WHITNEY LASHAE SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2815 OAK PARK DR, COOKEVILLE, TN 38506-5041
(931) 644-6605
Mailing address
2815 OAK PARK DR, COOKEVILLE, TN 38506-5041
(931) 644-6605
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0000009037
TN
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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