| Sparkle Dentistry Center Llc | |
|
281 Browertown Rd Woodland Park NJ 07424-2658 | |
| (973) 837-0002 | |
| (973) 837-0009 |
| Full Name | Sparkle Dentistry Center Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 281 Browertown Rd, Woodland Park, New Jersey |
| Authorized Official Name and Position | Ramona Kennedy (DENTIST) |
| Authorized Official Contact | 9738370002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparkle Dentistry Center Llc 281 Browertown Rd Woodland Park NJ 07424-2658 Ph: (973) 837-0002 | Sparkle Dentistry Center Llc 281 Browertown Rd Woodland Park NJ 07424-2658 Ph: (973) 837-0002 |
| NPI Number | 1821697400 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 10/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821697400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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