Parker Dental Clinic, Llc

NPI 1275873440 - Clinic/Center - 261QD0000X

NPI Details
NPI 1275873440
Enumeration Date 02/25/2013
Last Updated 02/25/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name RILEY D RILEY
Position OWNER
Phone (170) 120-4723
Fax
Practice Location
4501 COLEMAN ST
SUITE 107
BISMARCK ND, 58503, US
Phone (170) 120-4723
Fax
Business Location
3112 STONEWALL DR
BISMARCK ND, 58503-7817, US
Phone (170) 198-9430
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State North Dakota
License Number 2095
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According to our database, Parker Dental Clinic, Llc NPI is 1275873440, taxonomy code is 261QD0000X and license number is 2095, license state is located at North Dakota. Parker Dental Clinic, Llc physically located at 4501 Coleman St, Bismarck ND, 58503. NPI Number 1033115704 has the healthcare provider type.

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1275873440 NPI number is provided on an as is basis without warranty of any kind. 1275873440 is maintained by the National Plan & Provider Enumeration System. The contents of Parker Dental Clinic, Llc are for informational purposes only.