Organization
SPARKLE DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMONA KENNEDY DMD (DENTIST)
(973) 778-2000
Entity
Organization
Contact information
Practice address
1037 ROUTE 46 STE C108, CLIFTON, NJ 07013-2445
(973) 778-2000
(973) 778-2009
Mailing address
1037 ROUTE 46 STE C108, CLIFTON, NJ 07013-2445
(973) 778-2000
(973) 778-2009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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