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Individual
DR. STEPHEN L PARKER
Active
Individual
DR. STEPHEN L PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PA
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13271
TX
1223G0001X
General Practice Dentistry
13217
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
752942194
TAX ID #
TX
Enumeration date
04/03/2007
Last updated
08/18/2008
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