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Individual

SCOTT SPENCER PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
100 EDISON AVE STE B, ALAMOSA, CO 81101-2590
(719) 992-8647
Mailing address
100 EDISON AVE STE B, ALAMOSA, CO 81101-2590
(719) 992-8647

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00205272
CO

Other

Enumeration date
11/22/2022
Last updated
11/22/2022
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