JERRY PRESTON SPARKS

PARADISE VALLEY, AZ
NPI1942361381
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AZ  2223)
Enumeration Date2006-12-12
Last Update Date2007-07-08
Business Address
Dr. JERRY PRESTON SPARKS DDS
10565 N TATUM BLVD STE B110
PARADISE VALLEY, AZ 85253-1095
Phone number: 480-998-2300
Mailing Address
Dr. JERRY PRESTON SPARKS DDS
10565 N TATUM BLVD STE B110
PARADISE VALLEY, AZ 85253-1095
Phone number: 480-998-2300