Individual
DR. JARED BRIAN PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSC, DMD
Contact information
Practice address
810 BAYOU LN, THIBODAUX, LA 70301-4906
(985) 446-2888
(985) 447-1007
Mailing address
850 N CANAL BLVD, THIBODAUX, LA 70301-8076
(985) 243-4118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7148
LA
Other
Enumeration date
11/24/2020
Last updated
06/28/2023
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