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Individual

DR. NIDA LUANGJAMEKORN PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
4125 MEXICO RD, SAINT PETERS, MO 63376-6410
(636) 441-6110
(636) 447-5764
Mailing address
4125 MEXICO RD, SAINT PETERS, MO 63376-6410
(636) 441-6110
(636) 447-5764

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2008011520
MO
1223G0001X
General Practice Dentistry
60431
KS

Other

Enumeration date
10/13/2006
Last updated
10/17/2013
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