Sparkle Dentistry Grand Prairie
NPI #1013276849 in Grand Prairie, Texas
Provider Information
- NPI Number
- 1013276849
- Entity Type
- Organization
- Organization Name
- Sparkle Dentistry Grand Prairie
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 14, 2012
- Last Updated
- May 14, 2012
Practice Location
- Address
- 1017 FORT WORTH ST STE 100
- City
- Grand Prairie
- State
- Texas
- ZIP Code
- 75050-5404
- Phone
- (214) 412-2595
Authorized Official
- Name
- SARABJIT K KHASSA
- Title
- PRESIDENT
- Phone
- (214) 412-2595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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