Parker Family Dental

NPI 1285020909 - Clinic/Center - 261QD0000X

NPI Details
NPI 1285020909
Enumeration Date 04/09/2015
Last Updated 04/09/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name BLAKE BLAKE
Position OWNER
Phone (928) 669-2573
Fax
Practice Location
1220 W ARIZONA AVE
PARKER AZ, 85344-5647, US
Phone (928) 669-2573
Fax
Business Location
1220 W ARIZONA AVE
PARKER AZ, 85344, US
Phone
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Arizona
License Number D7663
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According to our database, Parker Family Dental NPI is 1285020909, taxonomy code is 261QD0000X and license number is D7663, license state is located at Arizona. Parker Family Dental physically located at 1220 W Arizona Ave, Parker AZ, 85344-5647. NPI Number 1033115704 has the healthcare provider type.

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1285020909 NPI number is provided on an as is basis without warranty of any kind. 1285020909 is maintained by the National Plan & Provider Enumeration System. The contents of Parker Family Dental are for informational purposes only.