Individual
MARY SEELYE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1510 I ST, BEDFORD, IN 47421-3836
(812) 323-9970
(812) 323-9961
Mailing address
1510 I ST, BEDFORD, IN 47421-3836
(812) 323-9970
(812) 323-9961
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010788
IN
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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