Sparkle Smiles Pllc

NPI #1508313909 in Marlin, Texas

Provider Information

NPI Number: 1508313909
Entity Type: Organization
Organization Name: Sparkle Smiles Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 2, 2016
Last Updated: Sep 2, 2016

Practice Location

Address: 110 CHURCH ST
City: Marlin
State: Texas
ZIP Code: 76661
Phone: (732) 423-4336

Authorized Official

Name: PAVAN CHILUVOJU
Title: OWNER DENTIST
Phone: (732) 423-4336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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