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Organization
PHILLIP E. PARKER, D.D.S., PC
Active
Organization
PHILLIP E. PARKER, D.D.S., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP E. PARKER D.D.S. (DENTIST)
(845) 687-0066
Entity
Organization
Contact information
Practice address
3669 MAIN STREET, STONE RIDGE, NY 12484-0553
(845) 687-0066
Mailing address
PO BOX 553, 3669 MAIN ST., STONE RIDGE, NY 12484-0553
(845) 687-0066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
040-171-1
NY
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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