| Spark Orthodontics | |
|
2951 Saint Lawrence Ave Reading PA 19606-2256 | |
| (610) 779-6990 | |
| Not Available |
| Full Name | Spark Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2951 Saint Lawrence Ave, Reading, Pennsylvania |
| Authorized Official Name and Position | Van Phi Le (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2675752321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Orthodontics 300 Willowbrook Ln Ste 300 West Chester PA 19382-5594 Ph: () - | Spark Orthodontics 2951 Saint Lawrence Ave Reading PA 19606-2256 Ph: (610) 779-6990 |
| NPI Number | 1700563939 |
|---|---|
| Provider Enumeration Date | 06/29/2023 |
| Last Update Date | 06/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700563939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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