Individual
DR. GARY A. PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D. D. S.
Contact information
Practice address
320 AUSTIN ST, BOGALUSA, LA 70427-3818
(985) 735-7653
(985) 735-7688
Mailing address
320 AUSTIN ST, BOGALUSA, LA 70427-3818
(985) 735-7653
(985) 735-7688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3321
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1833215
—
LA
Enumeration date
02/08/2011
Last updated
02/08/2011
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