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 |