| Sparkling Star Children's Dentistry | |
|
368 N Lemon Ave # C Walnut CA 91789-2345 | |
| (213) 447-3294 | |
| Not Available |
| Full Name | Sparkling Star Children's Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 368 N Lemon Ave # C, Walnut, California |
| Authorized Official Name and Position | Michelle to (OWNER) |
| Authorized Official Contact | 2134473294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparkling Star Children's Dentistry 368 N Lemon Ave # C Walnut CA 91789-2345 Ph: (213) 447-3294 | Sparkling Star Children's Dentistry 368 N Lemon Ave # C Walnut CA 91789-2345 Ph: (213) 447-3294 |
| NPI Number | 1285172866 |
|---|---|
| Provider Enumeration Date | 02/03/2017 |
| Last Update Date | 02/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285172866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 46337 (California) | Primary |
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