NPI | 1023174133 |
---|---|
Professional Name | GREGORY A PARKER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN11335) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN D10036) |
1223G0001X Dentist, General Practice (Licence: WI 3756-015) | |
1223G0001X Dentist, General Practice (Licence: CA 37272) | |
Enumeration Date | 2007-01-01 |
Last Update Date | 2007-07-08 |