Parks Family Dental
NPI #1316210768 in Tishomingo, Oklahoma
Provider Information
- NPI Number
- 1316210768
- Entity Type
- Organization
- Organization Name
- Parks Family Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 15, 2012
- Last Updated
- Feb 15, 2012
Practice Location
- Address
- 1520 EAST MAIN STREET
- City
- Tishomingo
- State
- Oklahoma
- ZIP Code
- 73460
- Phone
- (580) 371-3900
Authorized Official
- Name
- DR. JUSTIN RAY PARKS, D.D.S.
- Title
- DENTIST
- Phone
- (580) 371-3900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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