Sparq Family Dental LLC
NPI #1417573353 in West Long Branch, New Jersey
Provider Information
- NPI Number
- 1417573353
- Entity Type
- Organization
- Organization Name
- Sparq Family Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 16, 2020
- Last Updated
- Oct 16, 2020
Practice Location
- Address
- 121 HIGHWAY 36 STE 100
- City
- West Long Branch
- State
- New Jersey
- ZIP Code
- 07764-1459
- Phone
- (516) 851-9419
Authorized Official
- Name
- DR. ADAM HASHEMI, DMD
- Title
- OWNER
- Phone
- (732) 222-8516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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