| NPI | 1730937301 |
|---|---|
| Doing Business As | SPARK DENTAL CARE |
| Doing Business As | SPARK IMPLANTS AND PROSTHODONTICS |
| Doing Business As | SPARK DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KRISHNAPRIYA SIRIPURAPU Prosthodontist 810-394-6268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |