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Organization
LINCOLN PARKER DMD A PROFESSIONAL DENTAL CORPORATION
Active
Organization
LINCOLN PARKER DMD A PROFESSIONAL DENTAL CORPORATION
Active
Other names
Parker Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
SHANALEE ACKERMAN RDH (MANAGER)
(425) 503-1607
Entity
Organization
Contact information
Practice address
777 CORPORATE DR, SUITE 100, LADERA RANCH, CA 92694-2135
(949) 429-0049
(425) 671-0756
Mailing address
777 CORPORATE DR, SUITE 100, LADERA RANCH, CA 92694-2135
(949) 429-0049
(425) 671-0756
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61389
CA
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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