Organization
SPARKLE DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST YAZIGI DMD (OWNER)
(617) 265-6556
Entity
Organization
Contact information
Practice address
97 NEPONSET AVE, DORCHESTER, MA 02122-3322
(617) 265-6556
Mailing address
97 NEPONSET AVE, DORCHESTER, MA 02122-3322
(617) 265-6556
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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