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Individual

DR. JACQUELINE RENEE PALAISA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD, MS

Contact information

Practice address
151 BISHOP MURPHY DR, SUITE B, FROSTBURG, MD 21532-1329
(301) 689-9111
Mailing address
151 BISHOP MURPHY DR, SUITE B, FROSTBURG, MD 21532-1329
(301) 689-9111

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13998
MD

Other

Enumeration date
01/17/2006
Last updated
05/20/2008
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