Sparkle Smiles Pllc

NPI #1578942413 in Pearland, Texas

Provider Information

NPI Number: 1578942413
Entity Type: Organization
Organization Name: Sparkle Smiles Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: May 26, 2015
Last Updated: May 26, 2015

Practice Location

Address: 1921 N MAIN CENTER
Address 2: 115
City: Pearland
State: Texas
ZIP Code: 77581-3364
Phone: (732) 423-4336

Authorized Official

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

Specialties & Taxonomy Codes

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

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