KENNETH TREVOR PARKER

DOTHAN, AL
NPI1912152521
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: AL  5638)
Additional Taxonomies122300000X Dentist
(Licence: FL  DN 18467)
Enumeration Date2008-11-24
Last Update Date2019-04-04
Business Address
Dr. KENNETH TREVOR PARKER DMD
2431 W MAIN ST SUITE 601
DOTHAN, AL 36301-1217
Phone number: 334-793-3651
Mailing Address
Dr. KENNETH TREVOR PARKER DMD
2431 W MAIN ST SUITE 601
DOTHAN, AL 36301-1217
Phone number: 334-793-3651