Individual
DR. BRENT A PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1512 RENAISSANCE TOWNE DR STE 102, BOUNTIFUL, UT 84010-7513
(801) 298-7728
Mailing address
1512 RENAISSANCE TOWNE DR STE 102, BOUNTIFUL, UT 84010-7513
(801) 298-7728
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31134
TX
1223G0001X
General Practice Dentistry
11664262
UT
Other
Enumeration date
07/13/2015
Last updated
10/14/2024
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