JEREMIAH JASON SPARKS

PORTSMOUTH, ZZ
NPI1427377878
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IN  12011429A)
Enumeration Date2010-05-25
Last Update Date2012-01-25
Business Address
Dr. JEREMIAH JASON SPARKS D.D.S.
620 JOHN PAUL JONES CIR
PORTSMOUTH, ZZ
Phone number: 757-953-5146
Mailing Address
Dr. JEREMIAH JASON SPARKS D.D.S.
620 JOHN PAUL JONES CIR
PORTSMOUTH, ZZ
Phone number: