Sparkle Dental, Pllc

NPI #1760067011 in Herndon, Virginia

Provider Information

NPI Number
1760067011
Entity Type
Organization
Organization Name
Sparkle Dental, Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 17, 2021
Last Updated
Mar 17, 2021

Practice Location

Address
209 ELDEN ST STE 210
ZIP Code
20170-4846
Phone
(703) 376-8271

Authorized Official

Name
DR. RUTH KATHLEEN DUCHATELLIER-CANGE, DDS
Title
DENTIST/OWNER
Phone
(703) 376-8271

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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