Douglas D. Parks, D.D.S.

NPI #1700029964 in Aztec, New Mexico

Provider Information

NPI Number: 1700029964
Entity Type: Individual
Name: Douglas D. Parks, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Apr 16, 2009
Last Updated: Apr 16, 2009

Practice Location

Address: 501 S MAIN AVE
City: Aztec
State: New Mexico
ZIP Code: 87410-2247
Phone: (505) 334-6116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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