Individual
DR. JOSHUA THOMAS SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
BLDG 38801, ACADEMIC DRIVE, FORT GORDON, GA 30905
(706) 787-5738
(706) 787-2072
Mailing address
3740 S 14TH STREET, USA DENTAL HEALTH ACTIVITY, JOINT BASE LEWIS-MCCHORD, WA 98433
(253) 967-5271
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60244154
WA
1223P0700X
Prosthodontics
Primary
DE60244154
WA
Other
Enumeration date
09/12/2011
Last updated
04/11/2023
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