Individual
MRS. CLARISSA MARY SPARKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
802 W 42ND ST, HIBBING, MN 55746-3222
(218) 263-8381
(218) 263-8383
Mailing address
802 W 42ND ST, HIBBING, MN 55746-3222
(218) 263-8381
(218) 263-8383
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13098
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518086750
—
MN
05
—
40058
—
ND
Enumeration date
06/15/2012
Last updated
09/02/2016
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