Individual
STEPHEN M PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
74 N MAIN ST, SUITE 9, EAGAR, AZ 85925-9713
(928) 333-2345
(928) 333-2483
Mailing address
PO BOX 1090, EAGAR, AZ 85925-1090
(928) 333-2345
(928) 333-2483
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2703
AZ
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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