| Spark Dental Pc | |
|
1050 S Barrington Rd Ste A Streamwood IL 60107-2464 | |
| (630) 672-7877 | |
| Not Available |
| Full Name | Spark Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1050 S Barrington Rd Ste A, Streamwood, Illinois |
| Authorized Official Name and Position | Nishu Sharma (PRESIDENT) |
| Authorized Official Contact | 6306727877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Dental Pc Po Box 597 South Elgin IL 60177-0597 Ph: () - | Spark Dental Pc 1050 S Barrington Rd Ste A Streamwood IL 60107-2464 Ph: (630) 672-7877 |
| NPI Number | 1295424620 |
|---|---|
| Provider Enumeration Date | 05/02/2023 |
| Last Update Date | 05/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295424620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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