| NPI | 1295424620 |
|---|---|
| Former Legal Business Name | SPARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | NISHU SHARMA President 630-672-7877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-05-02 |