Organization
PARKER DENTAL, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC DEWAYNE PARKER D.D.S. (OWNER)
(812) 525-2372
Entity
Organization
Contact information
Practice address
502 S MAIN ST, BROWNSTOWN, IN 47220-1920
(812) 525-2372
Mailing address
502 S MAIN ST, BROWNSTOWN, IN 47220-1920
(812) 525-2372
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012289A
IN
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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