Organization
AMY C PARKER, D.D.S.,M.S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE JOHNSON (OFFICE MANAGER)
(248) 423-9800
Entity
Organization
Contact information
Practice address
16800 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076-6335
(248) 423-9800
Mailing address
16800 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076-6335
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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