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1942361381
JERRY PRESTON SPARKS
PARADISE VALLEY, AZ
NPI
1942361381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ 2223)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
Dr. JERRY PRESTON SPARKS DDS
10565 N TATUM BLVD STE B110
PARADISE VALLEY, AZ 85253-1095
Phone number: 480-998-2300
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Mailing Address
Dr. JERRY PRESTON SPARKS DDS
10565 N TATUM BLVD STE B110
PARADISE VALLEY, AZ 85253-1095
Phone number: 480-998-2300
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