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Organization
GARY A PARKER DDS APDC
Active
Organization
GARY A PARKER DDS APDC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY A PARKER DDS (DENTIST PRESIDENT)
(985) 735-7653
Entity
Organization
Contact information
Practice address
320 AUSTIN ST, BOGALUSA, LA 70427-3818
(985) 735-7653
(985) 735-7688
Mailing address
320 AUSTIN ST, BOGALUSA, LA 70427-3818
(985) 735-7653
(985) 735-7688
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3321
LA
1223G0001X
General Practice Dentistry
Primary
3321
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1833215
—
LA
Enumeration date
09/14/2006
Last updated
11/22/2010
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