| Sparkle Smiles Pllc | |
|
110 Church St Marlin TX 76661 | |
| (732) 423-4336 | |
| Not Available |
| Full Name | Sparkle Smiles Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 110 Church St, Marlin, Texas |
| Authorized Official Name and Position | Pavan Chiluvoju (OWNER DENTIST) |
| Authorized Official Contact | 7324234336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparkle Smiles Pllc 110 Church St Marlin TX 76661 Ph: () - | Sparkle Smiles Pllc 110 Church St Marlin TX 76661 Ph: (732) 423-4336 |
| NPI Number | 1508313909 |
|---|---|
| Provider Enumeration Date | 09/02/2016 |
| Last Update Date | 09/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508313909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 28728 (Texas) | Primary |
Marlin Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Church St, Marlin, TX 76661 Phone: 254-883-3070 |