Individual
DR. STACEY SANDERS PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2735 HIGHWAY 64, SUITE 205, EADS, TN 38028-3333
(901) 466-0404
Mailing address
2735 HIGHWAY 64, SUITE 205, EADS, TN 38028-3333
(901) 466-0404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7155
TN
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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