Sparkling Smiles, PC

NPI #1043632623 in Chicago, Illinois

Provider Information

NPI Number: 1043632623
Entity Type: Organization
Organization Name: Sparkling Smiles, PC
Primary Specialty: Dentist
Enumeration Date: Jan 15, 2014
Last Updated: Jan 15, 2014

Practice Location

Address: 903 S ASHLAND AVE
Address 2: APT 1003
City: Chicago
State: Illinois
ZIP Code: 60607-4002
Phone: (708) 527-8992

Authorized Official

Name: SYLVIA DEEK
Title: PRESIDENT
Phone: (708) 527-8992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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