Larry D Sparks, DDS

NPI #1558469312 in West, Texas

Provider Information

NPI Number: 1558469312
Entity Type: Individual
Name: Larry D Sparks, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 312 N MAIN
City: West
State: Texas
ZIP Code: 76691-0369
Phone: (254) 826-4067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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