Individual
DR. CHARLES DOUGLAS PALMER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
608 GRAPEVINE HWY, HURST, TX 76054-2775
(817) 656-2202
(817) 656-1904
Mailing address
5001 GLENSHIRE DR, FLOWER MOUND, TX 75028-3172
(817) 854-0705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19327
TX
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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