| Sparkle Dental Center At Ferguson Pc | |
|
2572 Gus Thomasson Rd Dallas TX 75228-3017 | |
| (214) 342-9600 | |
| (214) 342-9604 |
| Full Name | Sparkle Dental Center At Ferguson Pc |
|---|---|
| Speciality | Dentist |
| Location | 2572 Gus Thomasson Rd, Dallas, Texas |
| Authorized Official Name and Position | Tuan Nguyen (OWNER) |
| Authorized Official Contact | 2143429600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparkle Dental Center At Ferguson Pc 9205 Skillman St Ste 128 Dallas TX 75243-9031 Ph: (214) 342-9600 | Sparkle Dental Center At Ferguson Pc 2572 Gus Thomasson Rd Dallas TX 75228-3017 Ph: (214) 342-9600 |
| NPI Number | 1124344452 |
|---|---|
| Provider Enumeration Date | 04/12/2010 |
| Last Update Date | 04/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124344452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21736 (Texas) | Primary |
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