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Organization
PARKER FAMILY DENTAL
Active
Organization
PARKER FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE ADAMS (OWNER)
(928) 669-2573
Entity
Organization
Contact information
Practice address
1220 W ARIZONA AVE, PARKER, AZ 85344-5647
(928) 669-2573
Mailing address
1220 W ARIZONA AVE, PARKER, AZ 85344
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D7663
AZ
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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