Individual
MICHAEL GRAHAM WHARTON-PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1702 ARKANSAS BLVD, TEXARKANA, AR 71854-1610
(870) 774-3278
(870) 772-4593
Mailing address
1702 ARKANSAS BLVD, TEXARKANA, AR 71854-1610
(870) 774-3278
(870) 772-4593
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3019
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108992
INSURANCE COMPANY
AR
01
—
58332
BLUE CROSS AND BLUE SHEIL
AR
Enumeration date
11/15/2006
Last updated
07/09/2007
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