| NPI | 1407572779 |
|---|---|
| Doing Business As | SPARK ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JASON MICHAEL HARTMAN Owner 610-334-3278 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-10-18 |