Individual
DR. MITCHELL JOHN PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4016 LEMAY FERRY RD, SAINT LOUIS, MO 63129-1858
(314) 627-0209
Mailing address
4016 LEMAY FERRY RD, SAINT LOUIS, MO 63129-1858
(314) 627-0209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019034408
IL
1223G0001X
General Practice Dentistry
Primary
2023026503
MO
Other
Enumeration date
06/26/2023
Last updated
07/17/2023
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