# PARKER FAMILY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285020909
- **Authorized official:** DR. BLAKE ADAMS (OWNER)
- **Authorized official phone:** (928) 669-2573

## Contact information

- **Practice address:** 1220 W ARIZONA AVE, PARKER, AZ 85344-5647
- **Practice address phone:** (928) 669-2573
- **Mailing address:** 1220 W ARIZONA AVE, PARKER, AZ 85344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | D7663 | AZ | Yes |

## Other

- **Enumeration date:** 04/09/2015
- **Last updated:** 04/09/2015