Individual
MARK LOUIS PALMER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
101 NE EADS ST, NEWPORT, OR 97365-2840
(541) 265-7727
(541) 574-8861
Mailing address
101 NE EADS ST, NEWPORT, OR 97365-2840
(541) 265-7727
(541) 574-8861
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5762
OR
Other
Enumeration date
07/08/2005
Last updated
07/08/2007
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