# MARY PARKS DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Parks Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467281451
- **Authorized official:** MARY FRANCIS ANN PARKS DMD (DENTIST)
- **Authorized official phone:** (208) 507-0967

## Contact information

- **Practice address:** 1260 SE BISHOP BLVD, PULLMAN, WA 99163-5451
- **Practice address phone:** (208) 507-0967
- **Mailing address:** 216 PARK ST, GRANGEVILLE, ID 83530-2340
- **Mailing address phone:** (208) 507-0867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/29/2024
- **Last updated:** 07/29/2024