Individual
STAN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
1320 FERRIS AVE, WAXAHACHIE, TX 75165-1862
(972) 937-0424
Mailing address
1320 FERRIS AVE, WAXAHACHIE, TX 75165-1862
(972) 937-0424
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12225
TX
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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