Organization
PALMER FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK PALMER (OWNER)
(928) 428-6161
Entity
Organization
Contact information
Practice address
810 W 8TH ST, SAFFORD, AZ 85546
(928) 428-6161
Mailing address
810 W 8TH ST, SAFFORD, AZ 85546-3109
(928) 428-6161
(928) 428-6169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8425
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
8425
AZ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
8425
AZ
124Q00000X
Dental Hygienist
8425
AZ
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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