| Sparkle Smiles Pllc | |
|
1921 N Main Center 115 Pearland TX 77581-3364 | |
| (732) 423-4336 | |
| Not Available |
| Full Name | Sparkle Smiles Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1921 N Main Center, Pearland, Texas |
| Authorized Official Name and Position | Pavan Chiluvoju (OWNER) |
| Authorized Official Contact | 7324234336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparkle Smiles Pllc 1921 N Main Center 115 Pearland TX 77581-3364 Ph: () - | Sparkle Smiles Pllc 1921 N Main Center 115 Pearland TX 77581-3364 Ph: (732) 423-4336 |
| NPI Number | 1578942413 |
|---|---|
| Provider Enumeration Date | 05/26/2015 |
| Last Update Date | 05/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578942413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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