| Sparkling Smile Dental | |
|
5150 Graves Ave Ste 11e San Jose CA 95129-5014 | |
| (408) 771-5136 | |
| Not Available |
| Full Name | Sparkling Smile Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5150 Graves Ave Ste 11e, San Jose, California |
| Authorized Official Name and Position | Priyanka Saxena (DENTIST) |
| Authorized Official Contact | 4087715136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparkling Smile Dental 1416 Constanso Way San Jose CA 95129-4904 | Sparkling Smile Dental 5150 Graves Ave Ste 11e San Jose CA 95129-5014 Ph: (408) 771-5136 |
| NPI Number | 1265109789 |
|---|---|
| Provider Enumeration Date | 08/23/2021 |
| Last Update Date | 08/23/2021 |
| Certification Date | 08/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265109789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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