| Esi And Travis Parker Llc | |
|
1821 Chase Rd Logansport IN 46947-1200 | |
| (574) 753-4542 | |
| Not Available |
| Full Name | Esi And Travis Parker Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1821 Chase Rd, Logansport, Indiana |
| Authorized Official Name and Position | Eso Parker (GENERAL DENTIST) |
| Authorized Official Contact | 5747534542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esi And Travis Parker Llc 1821 Chase Rd Logansport IN 46947-1200 Ph: (574) 753-4542 | Esi And Travis Parker Llc 1821 Chase Rd Logansport IN 46947-1200 Ph: (574) 753-4542 |
| NPI Number | 1801482534 |
|---|---|
| Provider Enumeration Date | 12/16/2020 |
| Last Update Date | 12/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801482534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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