Sparkle Dentistry Center LLC

NPI #1821697400 in Woodland Park, New Jersey

Provider Information

NPI Number: 1821697400
Entity Type: Organization
Organization Name: Sparkle Dentistry Center LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 23, 2020
Last Updated: Oct 23, 2020

Practice Location

Address: 281 BROWERTOWN RD
City: Woodland Park
State: New Jersey
ZIP Code: 07424-2658
Phone: (973) 837-0002

Authorized Official

Name: DR. RAMONA KENNEDY, DMD
Title: DENTIST
Phone: (973) 837-0002

Specialties & Taxonomy Codes

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

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