Sparks Family Dentistry LLC

NPI #1336264936 in Sparks, Nevada

Provider Information

NPI Number: 1336264936
Entity Type: Organization
Organization Name: Sparks Family Dentistry LLC
Primary Specialty: Dentist
Enumeration Date: Mar 20, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 340 PYRAMID WAY
City: Sparks
State: Nevada
ZIP Code: 89431
Phone: (775) 359-3336

Authorized Official

Name: DR. THOMAS AJ BASORA, DDS
Title: MANAGER
Phone: (775) 359-3337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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