| Sparkle Dental Center | |
|
2001 S Glenbrook Dr Garland TX 75041-1712 | |
| (972) 840-6800 | |
| Not Available |
| Full Name | Sparkle Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2001 S Glenbrook Dr, Garland, Texas |
| Authorized Official Name and Position | Tuan Nguyen (OWNER) |
| Authorized Official Contact | 9728406800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparkle Dental Center 2001 S Glenbrook Dr Garland TX 75041-1712 Ph: (972) 840-6800 | Sparkle Dental Center 2001 S Glenbrook Dr Garland TX 75041-1712 Ph: (972) 840-6800 |
| NPI Number | 1396907465 |
|---|---|
| Provider Enumeration Date | 06/30/2008 |
| Last Update Date | 01/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396907465 | NPI | - | NPPES |
| 176281701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 21736 (Texas) | Primary |
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