| Sparq Family Dental Llc | |
|
121 Highway 36 Ste 100 West Long Branch NJ 07764-1459 | |
| (516) 851-9419 | |
| Not Available |
| Full Name | Sparq Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 121 Highway 36 Ste 100, West Long Branch, New Jersey |
| Authorized Official Name and Position | Adam Hashemi (OWNER) |
| Authorized Official Contact | 7322228516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparq Family Dental Llc 121 Highway 36 Ste 100 West Long Branch NJ 07764-1459 Ph: () - | Sparq Family Dental Llc 121 Highway 36 Ste 100 West Long Branch NJ 07764-1459 Ph: (516) 851-9419 |
| NPI Number | 1417573353 |
|---|---|
| Provider Enumeration Date | 06/16/2020 |
| Last Update Date | 10/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417573353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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