# JUSTIN ASAEL PALMER DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962190561
- **Authorized official:** JUSTIN PALMER DMD (OWNER)
- **Authorized official phone:** (602) 748-8285

## Contact information

- **Practice address:** 1075 E RIGGS RD STE 2, CHANDLER, AZ 85249-3685
- **Practice address phone:** (602) 748-8285
- **Mailing address:** 1075 E RIGGS RD STE 2, CHANDLER, AZ 85249-3685
- **Mailing address phone:** (602) 748-8285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/01/2023
- **Last updated:** 05/01/2023