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Individual

DR. GARY MICHAEL PALSIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2194 HIGHWAY A1A, SUITE 205, INDIAN HARBOUR BEACH, FL 32937-4930
(321) 773-7400
(321) 779-8540
Mailing address
2194 HIGHWAY A1A, SUITE 205, INDIAN HARBOUR BEACH, FL 32937-4930
(321) 773-7400
(321) 779-8540

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN9293
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5310
OCCUPATIONAL LICENSE
FL
Enumeration date
03/30/2007
Last updated
07/08/2007
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