| NPI | 1497488985 |
|---|---|
| Doing Business As | SPARKLES DENTISTRY FOR CHILDREN |
| Former Legal Business Name | SPARKLES PEDIATRIC DENTISTRY OF MONTCLAIR PC |
| Entity Type | Organization |
| Authorized Contact | REESHA PATEL SHAH Owner 617-708-5108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-07-02 |
| Last Update Date | 2023-06-02 |