Individual
AMY PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
16800 W 12 MILE RD, SUITE 101, SOUTHFIELD, MI 48076-2108
(248) 423-9800
(248) 423-3486
Mailing address
16800 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076-6335
(248) 423-9800
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13365
MI
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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