Individual
KELSI PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1701 COUNTRY CLUB RD, JACKSONVILLE, NC 28546-6005
(910) 346-2345
Mailing address
201 WILLAS CT, HOLLY RIDGE, NC 28445-8006
(919) 389-5090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13294
NC
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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