| NPI | 1821535444 |
|---|---|
| Doing Business As | SPARKLE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HOLLY C LEWIS Pediatric Dental Specialist 804-746-7382 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2021-09-23 |