Individual
DR. BRENT DAVID PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
940 FRONTENAC DR, WINONA, MN 55987-6588
(507) 494-8558
Mailing address
1213 CLIFFVIEW AVE, ONALASKA, WI 54650-2003
(608) 492-0478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14811
MN
1223G0001X
General Practice Dentistry
64545-15
WI
1223G0001X
General Practice Dentistry
6545-015
WI
Other
Enumeration date
07/10/2010
Last updated
07/19/2022
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