Organization
PARKS CHILDREN'S DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONRAD PARKS D.D.S (PRESIDENT)
(402) 469-4386
Entity
Organization
Contact information
Practice address
4601 W 109TH ST, SUITE 217, OVERLAND PARK, KS 66211-1318
(402) 469-4386
Mailing address
9068 E 23RD AVE, DENVER, CO 80238-2772
(402) 469-4386
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
61078
KS
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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