Organization
CHRISTOPHER A. PARKS, DDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER PARKS DDS (OWNER)
(573) 468-7556
Entity
Organization
Contact information
Practice address
400 CUMBERLAND WAY, SUITE A, SULLIVAN, MO 63080-3321
(573) 468-7556
Mailing address
400 CUMBERLAND WAY, SUITE A, SULLIVAN, MO 63080-3321
(573) 468-7556
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/25/2011
Last updated
06/25/2011
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