Organization
PARKER DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDALL PAUL PARKER D.D.S. (OWNER)
(504) 949-4547
Entity
Organization
Contact information
Practice address
5121 N CLAIBORNE AVE, NEW ORLEANS, LA 70117-3605
(504) 949-4547
(504) 949-4611
Mailing address
5121 N CLAIBORNE AVE, NEW ORLEANS, LA 70117-3605
(504) 949-4547
(504) 949-4611
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4574
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1845744
—
LA
05
—
1860841
—
LA
Enumeration date
11/15/2011
Last updated
11/15/2011
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