Organization
JONATHAN W PARKER DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN WAYNE PARKER DMD (PRESIDENT)
(201) 797-9669
Entity
Organization
Contact information
Practice address
38-27 FAIR LAWN AVE, FAIR LAWN, NJ 07410-4325
(201) 797-9669
(201) 797-0871
Mailing address
38-27 FAIR LAWN AVE, FAIR LAWN, NJ 07410-4325
(201) 797-9669
(201) 797-0871
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI012150
NJ
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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