NPI 1003248899

Kyle Minter Parks, DMD

Practitioner Dentist Tuba City, AZ

Practice location

Address: 167 N Main St., Tuba City, AZ 86045
Phone: (928) 283-2672
Mailing address: 4015 E Soliere Ave, Flagstaff, AZ 86004-7600

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 6043 (AL)

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Registry record

NPI: 1003248899
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Aug 2013
Record last updated: 2 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.