# PALMER AND JOHNSON FAMILY DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Palmer Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740784230
- **Authorized official:** MARK PALMER (OWNER/DENTIST)
- **Authorized official phone:** (928) 428-6161

## Contact information

- **Practice address:** 810 W 8TH ST, SAFFORD, AZ 85546-3109
- **Practice address phone:** (928) 428-6161
- **Mailing address:** 810 W 8TH ST, SAFFORD, AZ 85546-3109
- **Mailing address phone:** (928) 428-6161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2018
- **Last updated:** 03/20/2018