Individual
JUSTIN PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 884-7881
Mailing address
11035 SYMINGTON CIR, LOUISVILLE, KY 40241-1356
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20668
FL
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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