Individual
DR. CONRAD PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4601 W 109TH ST STE 217, OVERLAND PARK, KS 66211-1314
(402) 469-4386
Mailing address
4601 W 109TH ST STE 217, OVERLAND PARK, KS 66211-1314
(402) 469-4386
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
2014009234
MO
1223P0221X
Pediatric Dentistry
Primary
61078
KS
1223P0221X
Pediatric Dentistry
7058
NE
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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