Individual
DR. CONRAD PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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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