Individual
MR. GERALD G PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5 9TH AVE N, CASSELTON, ND 58012
(701) 347-5345
(701) 347-4876
Mailing address
PO BOX 520, CASSELTON, ND 58012-0520
(701) 347-5345
(701) 347-4876
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1569
ND
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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