Individual
DR. MICHAEL W. PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
192 WESTERN AVE, SOUTH PORTLAND, ME 04106-2428
(207) 773-1703
(207) 773-0268
Mailing address
24 OSBORNE RD, GORHAM, ME 04038-2053
(207) 839-4513
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2383
ME
Other
Enumeration date
03/25/2007
Last updated
07/08/2007
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