Individual
LAURENCE R PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1245 CAPITOL ST STE 106-S, OGDEN, UT 84401-2842
(801) 394-0401
Mailing address
5701 REGENCY DR, OGDEN, UT 84403-5061
(801) 479-8224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
144526
UT
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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