Individual
KEVIN JARED PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4501 E SNIDER DR, WASILLA, AK 99654-7604
(907) 376-8400
Mailing address
4501 E SNIDER DR, WASILLA, AK 99654-7604
(907) 376-8400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1419
AK
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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