Individual
MRS. MARY AMBER PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1836 W MAIN ST, RICHMOND, IN 47374-3822
(765) 966-6802
Mailing address
1836 W MAIN ST, RICHMOND, IN 47374-3822
(765) 966-6802
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012943A
IN
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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