Individual
MITCHELL S PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1461 MUNFORD AVE, MUNFORD, TN 38058
(901) 837-6868
(901) 837-4776
Mailing address
P O BOX 130, MUNFORD AVE, MUNFORD, TN 38058
(901) 837-6868
(901) 837-4776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5366
TN
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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