| Sparkling Dental Care P.c. | |
|
401 E North Ave Suite 9 Villa Park IL 60181-1218 | |
| (630) 530-4949 | |
| Not Available |
| Full Name | Sparkling Dental Care P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 401 E North Ave, Villa Park, Illinois |
| Authorized Official Name and Position | Michael Joseph Lebiecki (PRES OWNER) |
| Authorized Official Contact | 6305304949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparkling Dental Care P.c. 566 N Ellsworth Ave Addison IL 60101-2917 Ph: (630) 279-9000 | Sparkling Dental Care P.c. 401 E North Ave Suite 9 Villa Park IL 60181-1218 Ph: (630) 530-4949 |
| NPI Number | 1356417240 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 12/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356417240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019022734 (Illinois) | Primary |
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