Sparkle Dental Center of Grand Prairie
NPI #1982911251 in Grand Prairie, Texas
Provider Information
- NPI Number
- 1982911251
- Entity Type
- Organization
- Organization Name
- Sparkle Dental Center of Grand Prairie
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 8, 2010
- Last Updated
- Sep 8, 2010
Practice Location
- Address
- 1017 FT. WORTH ST.
- Address 2
- SUITE100
- City
- Grand Prairie
- State
- Texas
- ZIP Code
- 75050
- Phone
- (214) 412-2602
Authorized Official
- Name
- TUAN ANH NGUYEN
- Title
- PRESIDENT
- Phone
- (469) 831-0890
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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