| Sparkle Dental Corp. | |
|
97 Neponset Ave Dorchester MA 02122-3322 | |
| (617) 265-6556 | |
| Not Available |
| Full Name | Sparkle Dental Corp. |
|---|---|
| Speciality | Dentist |
| Location | 97 Neponset Ave, Dorchester, Massachusetts |
| Authorized Official Name and Position | Ernest Yazigi (OWNER) |
| Authorized Official Contact | 6172656556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparkle Dental Corp. 97 Neponset Ave Dorchester MA 02122-3322 Ph: (617) 265-6556 | Sparkle Dental Corp. 97 Neponset Ave Dorchester MA 02122-3322 Ph: (617) 265-6556 |
| NPI Number | 1215340054 |
|---|---|
| Provider Enumeration Date | 06/10/2014 |
| Last Update Date | 06/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215340054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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