Parks Family Dental

NPI #1265704183 in Tishomingo, Oklahoma

Provider Information

NPI Number
1265704183
Entity Type
Organization
Organization Name
Parks Family Dental
Primary Specialty
Preferred Provider Organization
Enumeration Date
Feb 8, 2012
Last Updated
Feb 8, 2012

Practice Location

Address
1520 E. MAIN STREET
ZIP Code
73460
Phone
(580) 371-3900

Authorized Official

Name
TARA PARKS
Title
OFFICE MANAGER
Phone
(580) 371-3900

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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