Individual
DR. EDWIN THOMAS PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1121 W. MICHIGAN ST., RM S110B, INDIANAPOLIS, IN 46202-5186
(317) 278-3306
(317) 278-3018
Mailing address
1121 W. MICHIGAN ST., RM S110B, INDIANAPOLIS, IN 46202-5186
(317) 278-3306
(317) 278-3018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009393
IN
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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