Sparkle Dental Corp.

NPI #1215340054 in Dorchester, Massachusetts

Provider Information

NPI Number: 1215340054
Entity Type: Organization
Organization Name: Sparkle Dental Corp.
Primary Specialty: Dentist
Enumeration Date: Jun 10, 2014
Last Updated: Jun 10, 2014

Practice Location

Address: 97 NEPONSET AVE
City: Dorchester
State: Massachusetts
ZIP Code: 02122-3322
Phone: (617) 265-6556

Authorized Official

Name: DR. ERNEST YAZIGI, DMD
Title: OWNER
Phone: (617) 265-6556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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