Organization
ESI AND TRAVIS PARKER LLC
Active
Other names
Goris Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESO PARKER DMD (GENERAL DENTIST)
(574) 753-4542
Entity
Organization
Contact information
Practice address
1821 CHASE RD, LOGANSPORT, IN 46947-1200
(574) 753-4542
Mailing address
1821 CHASE RD, LOGANSPORT, IN 46947-1200
(574) 753-4542
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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