Individual
DR. A DAVID PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
425 MARKET ST, WILLIAMSPORT, PA 17701-6345
(570) 322-8200
Mailing address
425 MARKET ST, WILLIAMSPORT, PA 17701-6345
(570) 322-8200
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS017976L
PA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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