Organization · Type 2 NPI
Sparkle Dental, PLLC
Dental Clinic/Center · Herndon, VA
NPI number
1760067011
Active
Practice location
209 Elden St Ste 210
Herndon, VA 20170-4846
Fax (703) 376-8383
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1760067011
Sparkle Dental, PLLC's National Provider Identifier is 1760067011, issued on Mar 17, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Herndon, VA. The record was last updated on Mar 17, 2021.