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1407141807
MICHAEL C SPARKS
PADUCAH, KY
NPI
1407141807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KY 9016)
Enumeration Date
2011-06-14
Last Update Date
2014-11-12
Business Address
MICHAEL C SPARKS D.M.D.
1836 BROADWAY ST
PADUCAH, KY 42001-2708
Phone number: 270-442-0256
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Mailing Address
MICHAEL C SPARKS D.M.D.
1836 BROADWAY ST
PADUCAH, KY 42001-2708
Phone number: 270-442-0256
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