Individual
DR. LAURA M PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
700 EAST 2ND ST, IDA GROVE, IA 51445
(712) 364-3101
(712) 364-3102
Mailing address
700 EAST 2ND ST, IDA GROVE, IA 51445
(712) 364-3101
(712) 364-3102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08317
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0465203
—
IA
Enumeration date
08/12/2006
Last updated
07/08/2007
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