SearchNew Mexico122300000X

Douglas Parks, D.D.S

NPI 1700029964 · on the registry since 2009

Practice

Address
501 S Main Ave
Aztec, NM 87410
Phone
(505) 334-6116
Organisation at this address
Smilemaker Dental Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-04-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico