| NPI | 1912459215 |
|---|---|
| Doing Business As | SPARKLE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HOLLY CHRISTEL LEWIS Owner/Pediatric Dental Specialist 804-746-7382 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2021-10-22 |