| NPI | 1154720209 |
|---|---|
| Doing Business As | SPARKLE CITY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAN SPEARS Owner/President 864-515-0485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2464) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |