Organization
DR RICHARD L SPARKS DDS, MSD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LELAND SPARKS DDS, MSD, LTD (OWNER/PRESIDENT)
(602) 993-8800
Entity
Organization
Contact information
Practice address
770 E THUNDERBIRD RD, SUITE C, PHOENIX, AZ 85022-5307
(602) 993-8800
(602) 993-3419
Mailing address
770 E THUNDERBIRD RD, SUITE C, PHOENIX, AZ 85022-5307
(602) 993-8800
(602) 993-3419
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1510
AZ
Other
Enumeration date
09/07/2006
Last updated
08/22/2020
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