Sparq Dental Perth Amboy INC
NPI #1629840830 in Perth Amboy, New Jersey
Provider Information
- NPI Number
- 1629840830
- Entity Type
- Organization
- Organization Name
- Sparq Dental Perth Amboy INC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 23, 2023
- Last Updated
- Oct 23, 2023
Practice Location
- Address
- 288 STATE ST
- City
- Perth Amboy
- State
- New Jersey
- ZIP Code
- 08861-4348
- Phone
- (732) 442-6100
Authorized Official
- Name
- ADAN HASHEMI, DMD
- Title
- OWNER
- Phone
- (516) 851-9419
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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