Parks Family Dental

NPI 1265704183 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1265704183
Enumeration Date 02/08/2012
Last Updated 02/08/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name TARA TARA
Position OFFICE MANAGER
Phone (580) 371-3900
Fax (580) 371-3903
Practice Location
1520 E. MAIN STREET
TISHOMINGO OK, 73460, US
Phone (580) 371-3900
Fax (580) 371-3903
Business Location
1520 E. MAIN STREET
TISHOMINGO OK, 73460, US
Phone (580) 371-3900
Fax (580) 371-3903
Toxanomy
Taxonomy Code 305R00000X
License State Oklahoma
License Number 1124
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According to our database, Parks Family Dental NPI is 1265704183, taxonomy code is 305R00000X and license number is 1124, license state is located at Oklahoma. Parks Family Dental physically located at 1520 E. Main Street, Tishomingo OK, 73460. NPI Number 1033115704 has the healthcare provider type.

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1265704183 NPI number is provided on an as is basis without warranty of any kind. 1265704183 is maintained by the National Plan & Provider Enumeration System. The contents of Parks Family Dental are for informational purposes only.