Individual
DR. KENNETH DAVID PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
102 LUSK DR, WEST UNION, SC 29696-2629
(864) 638-7733
Mailing address
400 MEMORIAL DRIVE EXT STE 400, GREER, SC 29651-1850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.10199
SC
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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