Individual
MR. SAMUEL EDWARD PARKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1509 HERITAGE LANE, FLORENCE, SC 29505
(843) 669-1836
(843) 669-0141
Mailing address
1509 HERITAGE LANE, FLORENCE, SC 29505
(843) 669-1836
(843) 669-0141
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1387108
SC
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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