Organization
PARKS FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN PARKS (OWNER)
(864) 288-4515
Entity
Organization
Contact information
Practice address
100 PROFESSIONAL CT, MAULDIN, SC 29662-3257
(864) 288-4515
Mailing address
100 PROFESSIONAL CT, MAULDIN, SC 29662-3257
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
SC
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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