| Sparks Dental P.a | |
|
6904 Tabernacle Dr Plano TX 75024-7560 | |
| (732) 688-5939 | |
| Not Available |
| Full Name | Sparks Dental P.a |
|---|---|
| Speciality | Dentist |
| Location | 6904 Tabernacle Dr, Plano, Texas |
| Authorized Official Name and Position | Archana Manohar Lankupalli (PRESIDENT) |
| Authorized Official Contact | 7326885939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparks Dental P.a 6904 Tabernacle Dr Plano TX 75024-7560 Ph: (732) 688-5939 | Sparks Dental P.a 6904 Tabernacle Dr Plano TX 75024-7560 Ph: (732) 688-5939 |
| NPI Number | 1144623240 |
|---|---|
| Provider Enumeration Date | 10/02/2014 |
| Last Update Date | 10/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144623240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 25821 (Texas) | Primary |
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