| Sparq Dental Perth Amboy Inc | |
|
288 State St Perth Amboy NJ 08861-4348 | |
| (732) 442-6100 | |
| Not Available |
| Full Name | Sparq Dental Perth Amboy Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 288 State St, Perth Amboy, New Jersey |
| Authorized Official Name and Position | Adan Hashemi (OWNER) |
| Authorized Official Contact | 5168519419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparq Dental Perth Amboy Inc 288 State St Perth Amboy NJ 08861-4348 Ph: (732) 442-6100 | Sparq Dental Perth Amboy Inc 288 State St Perth Amboy NJ 08861-4348 Ph: (732) 442-6100 |
| NPI Number | 1629840830 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 10/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629840830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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