Organization
SPARQ FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM HASHEMI DMD (OWNER)
(732) 222-8516
Entity
Organization
Contact information
Practice address
121 HIGHWAY 36 STE 100, WEST LONG BRANCH, NJ 07764-1459
(516) 851-9419
Mailing address
121 HIGHWAY 36 STE 100, WEST LONG BRANCH, NJ 07764-1459
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
10/16/2020
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