PHILLIP PARKER

STONE RIDGE, NY
NPI1902214604
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy125K00000X Advanced Practice Dental Therapist
(Licence: NY  040 171 1)
Enumeration Date2014-07-25
Last Update Date2014-07-25
Business Address
-- PHILLIP PARKER DDS
3669 MAIN ST
STONE RIDGE, NY 12484-5613
Phone number: 845-687-0066
Mailing Address
-- PHILLIP PARKER DDS
24 TWIN PONDS DR
KINGSTON, NY 12401-6432
Phone number: 845-338-2999