Individual
DR. DECEMBER DAWN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-0002
Mailing address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-0002
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
NOT YET OBTAINED
KY
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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