Spark Dental Va, Pllc

NPI #1710647433 in Bristol, Virginia

Provider Information

NPI Number
1710647433
Entity Type
Organization
Organization Name
Spark Dental Va, Pllc
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Dec 21, 2021
Last Updated
Dec 21, 2021

Practice Location

Address
235 LINDEN SQ
ZIP Code
24202-5875
Phone
(276) 642-0043

Authorized Official

Name
CAROL LYNN GOINGS
Title
MGR
Phone
(615) 478-7166

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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