Individual
DR. MICHAEL PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
500 KENWOOD AVE, DELMAR, NY 12054-1822
(518) 439-9339
Mailing address
500 KENWOOD AVE., DELMAR, NY 12054-3227
(518) 439-9339
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
042392
NY
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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