DR. Van Parker, DDS
NPI #1417976275 in Blytheville, Arkansas
Provider Information
- NPI Number
- 1417976275
- Entity Type
- Individual
- Name
- DR. Van Parker, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 19, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 522 LUMERATE ST
- City
- Blytheville
- State
- Arkansas
- ZIP Code
- 72315-2418
- Phone
- (870) 763-5546
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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