Organization
VAN O. PARKER DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAN PARKER (PRESIDENT)
(870) 780-6469
Entity
Organization
Contact information
Practice address
522 LUMERATE ST, BLYTHEVILLE, AR 72315-2418
(870) 780-6469
Mailing address
522 LUMERATE ST, BLYTHEVILLE, AR 72315-2418
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2167
AR
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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