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1912152521
KENNETH TREVOR PARKER
DOTHAN, AL
NPI
1912152521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: AL 5638)
Additional Taxonomies
122300000X Dentist
(Licence: FL DN 18467)
Enumeration Date
2008-11-24
Last Update Date
2019-04-04
Business Address
Dr. KENNETH TREVOR PARKER DMD
2431 W MAIN ST SUITE 601
DOTHAN, AL 36301-1217
Phone number: 334-793-3651
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Mailing Address
Dr. KENNETH TREVOR PARKER DMD
2431 W MAIN ST SUITE 601
DOTHAN, AL 36301-1217
Phone number: 334-793-3651
Copy
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SOUTHERN PEDODONTICS PARTNERS, LLC