Organization
SPARQ DENTAL PERTH AMBOY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAN HASHEMI DMD (OWNER)
(516) 851-9419
Entity
Organization
Contact information
Practice address
288 STATE ST, PERTH AMBOY, NJ 08861-4348
(732) 442-6100
Mailing address
288 STATE ST, PERTH AMBOY, NJ 08861-4348
(732) 442-6100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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