Sparkling Dental Care P.c.
NPI #1356417240 in Villa Park, Illinois
Provider Information
- NPI Number
- 1356417240
- Entity Type
- Organization
- Organization Name
- Sparkling Dental Care P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 24, 2006
- Last Updated
- Dec 20, 2012
Practice Location
- Address
- 401 E NORTH AVE
- Address 2
- SUITE 9
- City
- Villa Park
- State
- Illinois
- ZIP Code
- 60181-1218
- Phone
- (630) 530-4949
Authorized Official
- Name
- MICHAEL JOSEPH LEBIECKI, DMD DDS
- Title
- PRES OWNER
- Phone
- (630) 530-4949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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