| J.d. Parker, Dds, Msd, Pllc | |
|
315 N Sprague St Ellensburg WA 98926-3369 | |
| (509) 962-6902 | |
| (509) 962-1613 |
| Full Name | J.d. Parker, Dds, Msd, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 315 N Sprague St, Ellensburg, Washington |
| Authorized Official Name and Position | Joseph D Parker (OWNER) |
| Authorized Official Contact | 5099626902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J.d. Parker, Dds, Msd, Pllc 315 N Sprague St Ellensburg WA 98926-3369 Ph: (509) 962-6902 | J.d. Parker, Dds, Msd, Pllc 315 N Sprague St Ellensburg WA 98926-3369 Ph: (509) 962-6902 |
| NPI Number | 1336583269 |
|---|---|
| Provider Enumeration Date | 04/22/2013 |
| Last Update Date | 04/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336583269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE60191920 (Washington) | Primary |
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