Individual
DR. CHRISTOPHER ALLEN PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
400 CUMBERLAND WAY, SUITE A, SULLIVAN, MO 63080-3321
(573) 468-7556
(573) 468-7530
Mailing address
400 CUMBERLAND WAY, SUITE A, SULLIVAN, MO 63080-3321
(573) 468-7556
(573) 468-7530
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
20030115559
MO
Other
Enumeration date
08/05/2006
Last updated
05/03/2011
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