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1073234241
SPARK DENTISTRY PLLC
PRESCOTT VALLEY, AZ
NPI
1073234241
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Entity Type
Organization
Authorized Contact
SIMON PARK
Owner
928-499-3061
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2022-09-07
Last Update Date
2023-06-20
Business Address
SPARK DENTISTRY PLLC
7584 E STATE ROUTE 69
PRESCOTT VALLEY, AZ 86314-2278
Phone number: 928-499-3061
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Mailing Address
SPARK DENTISTRY PLLC
PO BOX 70887
CLEVELAND, OH 44190-0887
Phone number:
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