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Individual

DR. KENNETH TREVOR PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2431 W MAIN ST, SUITE 601, DOTHAN, AL 36301-1217
(334) 793-3651
(334) 702-9677
Mailing address
2431 W MAIN ST, SUITE 601, DOTHAN, AL 36301-1217
(334) 793-3651
(334) 702-9677

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5638
AL
122300000X
Dentist
DN 18467
FL

Other

Enumeration date
11/24/2008
Last updated
04/04/2019
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