Individual
DAVID LAWRENCE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13326 SOUTH ST, CERRITOS, CA 90703
(562) 924-5551
(562) 924-1715
Mailing address
13326 SOUTH ST, CERRITOS, CA 90703
(562) 924-5551
(562) 924-1715
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
37740
CA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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