| NPI | 1023483534 |
|---|---|
| Doing Business As | GENTLE DENTAL SPARKS |
| Entity Type | Organization |
| Authorized Contact | TODD H CRESSMAN Pc Owner/President 800-684-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 3516) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2016-10-31 |